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Nurse Practitioner Family

Newnan, Georgia

Provider NPI: 1336385475

Provider Information:

Practice Location:
3116 HIGHWAY 34 E  NEWNAN, GA 30265 US
Tel: 678-633-6051  Fax: --

Business Mailing Address:
Tel: --  Fax: --


PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N367A00000XPhysician Assistants & Advanced Practice Nursing Providers
Midwife, Certified Nurse

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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