| NPI | 1790829711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NERISSA P DELISLE CEO 770-891-1459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: GA RN063675) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |