NPI | 1902408024 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN VAUGHN Officer 404-450-4684 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-11-13 |
Last Update Date | 2024-03-07 |