| NPI | 1790228773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY L. BUNKER Owner Founder 770-317-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN/FNP173575) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |