| NPI | 1922339837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA RENEE CAIN President 770-419-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN054027NP) |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2011-07-20 |