NPI | 1821894601 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE SMITH Owner 770-883-3253 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2025-02-21 |
Last Update Date | 2025-03-25 |