| NPI | 1770862351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE HOGUE KINAHAN Member 404-984-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN087295) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |