Advanced Wellness Care P.C.
Nurse Practitioner, Family in Warner Robins, GA. Organization (NPI-2).
NPI number1043620966
StatusActive
Last updated in NPPESAug 18, 2016
Details
- NPI
- 1043620966
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Wellness Care P.C.
- Organization subpart
- No
- Enumeration date
- Apr 30, 2014
- Last updated
- Aug 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN142278 | GA | Yes |
| 363LF0000X | Nurse Practitioner, Family | RN190791 | GA |
Practice location
108 Byrd WaySuite 100
Warner Robins, GA 31088
Phone 478-333-3026 · Fax 478-254-5102
Mailing address
108 Byrd WaySuite 100
Warner Robins, GA 31088
Phone 478-333-3026 · Fax 478-254-5102
Authorized official
Altheia Ware
Owner/Provider
7063150836
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