| NPI | 1780751297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE WILLIAMS DUMAS Owner 678-521-8928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: GA 172907NP) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |