| NPI | 1750781340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL NICOLE DERMYER Postdoctoral Fellow 678-701-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |