Advanced NP Services
Nurse Practitioner, Family in Stockbridge, GA. Organization (NPI-2).
NPI number1861678815
StatusActive
Last updated in NPPESSep 16, 2008
Details
- NPI
- 1861678815
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced NP Services
- Organization subpart
- No
- Enumeration date
- Jan 21, 2008
- Last updated
- Sep 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN084801NP | GA | Yes |
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | RN084801NP | GA | |
| 163WS0121X | Registered Nurse, Plastic Surgery | RN084801 | GA | |
| 363L00000X | Nurse Practitioner | RN084801NP | GA |
Practice location
242 Summerford PlStockbridge, GA 30281-2892
Phone 678-289-6618 · Fax 678-289-4274
Mailing address
242 Summerford PlStockbridge, GA 30281-2892
Phone 678-289-6618 · Fax 678-289-4274
Authorized official
Debra Cooper
President
6782896618
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