| NPI | 1740551738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL A OLSON President 770-653-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 143016NP) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |