| NPI | 1831592948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATORE WILLIAMS Lpn 404-399-7713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA lpn082505) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |