| NPI | 1891243960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE ROBINSON Owner 678-580-5958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2017-02-27 |