NPI | 1770302689 |
---|---|
Entity Type | Organization |
Authorized Contact | ARIEL CURTIS Clinic Director / Owner 770-500-8617 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2024-10-08 |
Last Update Date | 2024-10-08 |