| NPI | 1922688530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON BLUE Nurse Practitioner/Owner 404-542-5017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |