Golden Isles Healthcare,llc
Nurse Practitioner, Family in Mc Rae, GA. Organization (NPI-2).
NPI number1164075347
StatusActive
Last updated in NPPESJul 17, 2019
Details
- NPI
- 1164075347
- Entity type
- Organization (NPI-2)
- Legal business name
- Golden Isles Healthcare,llc
- Organization subpart
- No
- Enumeration date
- Jul 17, 2019
- Last updated
- Jul 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
144 E Oak StMc Rae, GA 31055-4338
Phone 229-868-7342 · Fax 229-868-4344
Mailing address
144 E Oak StMc Rae, GA 31055-4338
Phone 229-868-7342 · Fax 229-868-4344
Authorized official
Valarie I Webb
Nurse Practioner/ Owner
2298687342
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