| NPI | 1700556867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELINE WHITTEN Advanced Practice Provider 706-721-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |