| NPI | 1912514969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY TAYLOR CEO 678-927-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |