| NPI | 1831500370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A OPEKA Np, CFO 678-381-2630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 057218) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN154025) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2024-07-29 |