| NPI | 1689057689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELISHA LOVE KITCHEN Owner/Physician 478-742-5502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 051343) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |