| NPI | 1669805404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYON ELAINE SINCLAIR Np 404-957-2406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN179410) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |