| NPI | 1700042553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE C LAING Nurse Practioner 229-928-4144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN127193) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |