| NPI | 1780927970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE EVELYN HEAD Nurse Practitioner 770-664-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: GA RN149423) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-05 |