Erica Chanise Bolar NP-C

NPI 1285995845 - Registered Nurse - 163W00000X

NPI Details
NPI 1285995845
Gender Female
Enumeration Date 05/30/2012
Last Updated 05/30/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1957 LAKESIDE PKWY
SUITE 500
TUCKER GA, 30084-5881, US
Phone (770) 270-9898
Fax
Business Location
2620 N BERKELEY LAKE RD NW
APT 437
DULUTH GA, 30096-1448, US
Phone (404) 451-7529
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Georgia
License Number RN191538
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According to our database, Erica Chanise Bolar NP-C NPI is 1285995845, taxonomy code is 163W00000X and license number is RN191538, license state is located at Georgia. Erica Chanise Bolar NP-C physically located at 1957 Lakeside Pkwy, Tucker GA, 30084-5881. NPI Number Erica Chanise Bolar NP-C has the Individual type.

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1285995845 NPI number is provided on an as is basis without warranty of any kind. 1285995845 is maintained by the National Plan & Provider Enumeration System. The contents of Erica Chanise Bolar NP-C are for informational purposes only.