Family Therapy Pc

NPI 1770686024 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1770686024
Enumeration Date 09/05/2006
Last Updated 08/12/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name INGE C INGE
Position PRESIDENT
Phone (678) 438-4233
Fax (770) 761-9070
Practice Location
997 COMMERCE DR SW
SUITE 3D
CONYERS GA, 30094-6647, US
Phone (678) 438-4233
Fax (770) 761-9070
Business Location
997 COMMERCE DR
SUITE 3D
CONYERS GA, 30094-6647, US
Phone (678) 438-4233
Fax (770) 761-9070
Toxanomy
Taxonomy Code 363LP0808X
License State Georgia
License Number RN079843 CNS/PMH
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According to our database, Family Therapy Pc NPI is 1770686024, taxonomy code is 363LP0808X and license number is RN079843 CNS/PMH, license state is located at Georgia. Family Therapy Pc physically located at 997 Commerce Dr Sw, Conyers GA, 30094-6647. NPI Number 1033115704 has the healthcare provider type.

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1770686024 NPI number is provided on an as is basis without warranty of any kind. 1770686024 is maintained by the National Plan & Provider Enumeration System. The contents of Family Therapy Pc are for informational purposes only.