| 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 |