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 |