| NPI | 1790397495 |
|---|---|
| Other Name | KBS |
| Entity Type | Organization |
| Authorized Contact | LAQUANDA T SPINCE Owner/Nurse Practitioner 770-376-7927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2021-01-27 |