| NPI | 1821496241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAIOMI M SHOCKLEY Owner 770-960-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN159492) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |