| NPI | 1700537859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ATKINS Director 470-909-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2025-07-11 |