| NPI | 1629522032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI TAYMAN HENDERSON Family Nurse Practitioner/Owner 912-809-6052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA RN133742) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2024-10-31 |