| NPI | 1710696877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM C FISHER Owner/Manager 229-412-5844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2025-03-06 |