| NPI | 1932459583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRI SANDS Director 470-615-1884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 247200000X Technician, Other | |
| 251X00000X | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2021-12-30 |