NPI | 1992578728 |
---|---|
Doing Business As | GOOD LIFE HEALTH LLC |
Entity Type | Organization |
Authorized Contact | SHAHZEEN REHMAN Provider 678-641-2078 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2023-11-02 |
Last Update Date | 2023-11-02 |