NURSE PRACTIONER

Clinic/Center - Community Health

Active Organization
NPI: 1629519202

Practice Address

4044 GEORGE BUSBEE PKWY NW APT 4207
Kennesaw, GA 30144

Phone: (404) 579-1658

Specialties

Specialty Code Primary License
Point of Service 305S00000X No 193760 (GA)
Clinic/Center - Community Health 261QC1500X Yes 193760 (GA)

Frequently Asked Questions

NPI 1629519202 is the National Provider Identifier for NURSE PRACTIONER, a Clinic/Center - Community Health provider located in Kennesaw, GA. This NPI was enumerated on March 15, 2017.

Quick Facts

NPI
1629519202
Type
Organization
Enumerated
Mar 15, 2017
Last Updated
Mar 15, 2017

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