Lafayette Family Care, LLC
Nurse Practitioner, Family in La Fayette, GA. Organization (NPI-2).
NPI number1174912901
StatusActive
Last updated in NPPESJan 16, 2015
Details
- NPI
- 1174912901
- Entity type
- Organization (NPI-2)
- Legal business name
- Lafayette Family Care, LLC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2015
- Last updated
- Jan 16, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN093282 | GA | Yes |
Practice location
204 N Duke StLa Fayette, GA 30728-2505
Phone 706-638-0093
Mailing address
204 N Duke StLa Fayette, GA 30728-2505
Phone 706-638-0093
Authorized official
Patricia Annette Barrett
Owner
7065069160
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