| NPI | 1902198344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA JEAN WILLIAMS President/ Provider 770-994-1078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN056087) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |