C-Worth Family Walk-In Clinic
Nurse Practitioner, Family in Chatsworth, GA. Organization (NPI-2).
NPI number1982945135
StatusActive
Last updated in NPPESMar 13, 2013
Details
- NPI
- 1982945135
- Entity type
- Organization (NPI-2)
- Legal business name
- C-Worth Family Walk-In Clinic
- Organization subpart
- No
- Enumeration date
- Mar 13, 2013
- Last updated
- Mar 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN115578 | GA | Yes |
Practice location
2976 Highway 76Ste B
Chatsworth, GA 30705-6981
Phone 706-517-0656 · Fax 706-517-0651
Mailing address
2976 Highway 76Ste B
Chatsworth, GA 30705-6981
Phone 706-517-0656 · Fax 706-517-0651
Authorized official
Kelly Ray Elliott
President
7065170656
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