| NPI | 1700324316 |
|---|---|
| Doing Business As | PRIMARY CARE & MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | PAMELA ENJEMA MOKOKO Owner/CEO 912-224-1156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN153499) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN153499) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2023-11-21 |