| NPI | 1881956290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHRIS SALTER Nurse Practitioner 770-328-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL AL 20705) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1071631) |
| 207Q00000X Family Medicine (Licence: AL AL 24557) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |