| NPI | 1699009878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE GREESON Manager/Administrator 706-226-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN036308) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |