| NPI | 1962245142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALIA C LUCAS-SMITH Nurse 404-839-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WW0000X Registered Nurse, Wound Care | |
| 164W00000X Licensed Practical Nurse | |
| 363L00000X Nurse Practitioner | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |