House Calls Of Nw Georgia, Llc

NPI 1073774105 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1073774105
Enumeration Date 06/20/2008
Last Updated 04/27/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CAROLE M. CAROLE
Position NURSE PRACTITIONER
Phone (076) 266-4387
Fax (706) 291-7383
Practice Location
30 WARD MOUNTAIN RD
KINGSTON GA, 30145-1129, US
Phone (076) 266-4387
Fax (706) 291-7383
Business Location
30 WARD MOUNTAIN ROAD
KINGSTON GA, 30145, US
Phone (706) 266-4387
Fax (706) 291-7383
Toxanomy
Taxonomy Code 363LA2200X
License State Georgia
License Number RN069392
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According to our database, House Calls Of Nw Georgia, Llc NPI is 1073774105, taxonomy code is 363LA2200X and license number is RN069392, license state is located at Georgia. House Calls Of Nw Georgia, Llc physically located at 30 Ward Mountain Rd, Kingston GA, 30145-1129. NPI Number 1033115704 has the healthcare provider type.

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1073774105 NPI number is provided on an as is basis without warranty of any kind. 1073774105 is maintained by the National Plan & Provider Enumeration System. The contents of House Calls Of Nw Georgia, Llc are for informational purposes only.