| NPI | 1639484132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY ROGERS Office Administrator 404-252-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN094494NP) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |