MID PROVIDER INC

Nurse Practitioner - Gerontology

Active Organization
NPI: 1962621532

Practice Address

1230 WORTHINGTON HILLS DR
Roswell, GA 30076

Phone: (404) 229-0274

Specialties

Specialty Code Primary License
Nurse Practitioner - Gerontology 363LG0600X Yes RN133089 (GA)

Frequently Asked Questions

NPI 1962621532 is the National Provider Identifier for MID PROVIDER INC, a Nurse Practitioner - Gerontology provider located in Roswell, GA. This NPI was enumerated on April 24, 2007.

Quick Facts

NPI
1962621532
Type
Organization
Enumerated
Apr 24, 2007
Last Updated
Jan 5, 2010

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