Georgia Department Of Labor

NPI 1073776647 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1073776647
Enumeration Date 07/03/2008
Last Updated 07/03/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GREG GREG
Position EXECUTIVE DIRECTOR
Phone (706) 655-5337
Fax (706) 655-5299
Practice Location
6391 ROOSEVELT HWY
WARM SPRINGS GA, 31830-2281, US
Phone (706) 655-5337
Fax (706) 655-5299
Business Location
PO BOX 1000
6135 ROOSEVELT HIGHWAY
WARM SPRINGS GA, 31830-1000, US
Phone (706) 655-5337
Fax (706) 655-5299
Toxanomy
Taxonomy Code 363LF0000X
License State Georgia
License Number RN077027 NP
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According to our database, Georgia Department Of Labor NPI is 1073776647, taxonomy code is 363LF0000X and license number is RN077027 NP, license state is located at Georgia. Georgia Department Of Labor physically located at 6391 Roosevelt Hwy, Warm Springs GA, 31830-2281. NPI Number 1033115704 has the healthcare provider type.

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1073776647 NPI number is provided on an as is basis without warranty of any kind. 1073776647 is maintained by the National Plan & Provider Enumeration System. The contents of Georgia Department Of Labor are for informational purposes only.