NPI | 1699965814 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY MICHELLE DENNINGTON Office Manager 706-295-5150 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN093196) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2007-12-14 |