NPI | 1730555269 |
---|---|
Entity Type | Organization |
Authorized Contact | MARYANN SHERBER Practice Manager 770-255-1069 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN088988) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2015-08-19 |