| NPI | 1659030427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY OYERINDE Np 470-574-6589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 208D00000X General Practice | |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2021-12-09 |