| NPI | 1811071061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S KAUFMANN Owner 404-881-9727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN163540) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |