| NPI | 1881300028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA CARMEITA WILLIAMS Nurse Practitioner 706-464-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |