HOUSE CALLS OF NW GEORGIA LLC NPI 1073774105

NPI Information

NPI: 1073774105
Provider Name: HOUSE CALLS OF NW GEORGIA, LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
30 WARD MOUNTAIN RD
KINGSTON, GA
ZIP 30145
Phone: (076) 266-4387
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HOUSE CALLS OF NW GEORGIA, LLC is an adult health nurse practitioner in Kingston, GA. HOUSE CALLS OF NW GEORGIA, LLC NPI is 1073774105. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 WARD MOUNTAIN RD
KINGSTON, GA
ZIP 30145-129
Phone: (076) 266-4387
Fax: (706) 291-7383

The provider's authorized official is Carole M. Gooch .
The authorized official title is Nurse Practitioner and has the following contact phone number (706) 266-4387.

The enumeration date for this NPI number is 6/20/2008 and was last updated on 4/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	RN069392	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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