| NPI | 1720598030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ALBERTO ESCOBAR Family Nurse Practicioner 770-880-4517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN225443) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |