| NPI | 1699173807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JOHNSON Owner 404-578-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN155651) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |