| NPI | 1689394447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIANDA NDAPTSO CEO 678-497-5145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251B00000X Case Management | |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |