| NPI | 1861678815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA COOPER President 678-289-6618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN084801NP) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: GA RN084801NP) |
| 163WS0121X Registered Nurse, Plastic Surgery (Licence: GA RN084801) | |
| 363L00000X Nurse Practitioner (Licence: GA RN084801NP) | |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2008-09-16 |