| NPI | 1962621532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA J NORRIS Director 404-229-0274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN133089) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2010-01-05 |