NPI | 1740997675 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEROCKO RIESHELL GATLING-JAMES Business Owner 770-807-4710 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2022-10-31 |
Last Update Date | 2023-10-18 |