| NPI | 1922887058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHEIKA NACOLE WILLIAMS CEO 229-224-3177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-10-25 |