Georgia Phs Pc

NPI 1073872487 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1073872487
Enumeration Date 05/07/2012
Last Updated 11/20/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name NICOLE NICOLE
Position CFO
Phone (877) 260-4747
Fax (901) 261-4867
Practice Location
3355 LENOX RD NE
SUITE 750
ATLANTA GA, 30326-1394, US
Phone (877) 260-4747
Fax (901) 261-4867
Business Location
1509 DULLES DRIVE
LAFAYETTE LA, 70506, US
Phone (337) 991-9276
Fax (337) 991-9288
Toxanomy
Taxonomy Code 363L00000X
License State
License Number
Remove 1073872487 NPI Number
 

According to our database, Georgia Phs Pc NPI is 1073872487, taxonomy code is 363L00000X Georgia Phs Pc physically located at 3355 Lenox Rd Ne, Atlanta GA, 30326-1394. NPI Number 1033115704 has the healthcare provider type.

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1073872487 NPI number is provided on an as is basis without warranty of any kind. 1073872487 is maintained by the National Plan & Provider Enumeration System. The contents of Georgia Phs Pc are for informational purposes only.