NPI | 1982122974 |
---|---|
Entity Type | Organization |
Authorized Contact | AYJANAH RASHEEDA MOORE Nurse Practitioner 404-944-1174 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2017-08-30 |
Last Update Date | 2022-07-21 |