NURSE PRACTIONER

Community Health Clinic/Center · KENNESAW, GA

Organization Active NPI 1629519202

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Community Health Clinic/Center261QC1500X193760GA
Point of Service305S00000X193760GA

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.