| NPI | 1710194840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY WHISENHUNT Professional Development Coordinato 706-446-5569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-09-04 |