Family First Healthcare Of Northeast Georgia

NPI 1720300387 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1720300387
Enumeration Date 02/24/2010
Last Updated 06/28/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name NICOLE NICOLE
Position OFFICE MANAGER
Phone (706) 356-8181
Fax (706) 356-8081
Practice Location
11973 AUGUSTA RD
LAVONIA GA, 30553-1283, US
Phone (706) 356-8181
Fax (706) 356-8081
Business Location
11973 AUGUSTA RD
LAVONIA GA, 30553-1283, US
Phone (706) 356-8181
Fax (706) 356-8081
Toxanomy
Taxonomy Code 363LA2100X
License State Georgia
License Number RN144697NP
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According to our database, Family First Healthcare Of Northeast Georgia NPI is 1720300387, taxonomy code is 363LA2100X and license number is RN144697NP, license state is located at Georgia. Family First Healthcare Of Northeast Georgia physically located at 11973 Augusta Rd, Lavonia GA, 30553-1283. NPI Number 1033115704 has the healthcare provider type.

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1720300387 NPI number is provided on an as is basis without warranty of any kind. 1720300387 is maintained by the National Plan & Provider Enumeration System. The contents of Family First Healthcare Of Northeast Georgia are for informational purposes only.