DORCUS HEALTHCARE SERVICES LLC NPI 1922661800

NPI Information

NPI: 1922661800
Provider Name: DORCUS HEALTHCARE SERVICES LLC

Former Legal Business Name: DORCUS HEALTHCARE SERVICES ,LLC

Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
105 GREYSTONE DR
GUYTON, GA
ZIP 31312
Phone: (757) 842-3824
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DORCUS HEALTHCARE SERVICES LLC is a gerontology nurse practitioner in Guyton, GA. DORCUS HEALTHCARE SERVICES LLC NPI is 1922661800. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Dorcus Healthcare Services ,llc.

The provider's business location address is:

105 GREYSTONE DR
GUYTON, GA
ZIP 31312-548
Phone: (757) 842-3824

The provider's authorized official is Latosha D Triplet .
The authorized official title is Nurse Pratitioner and has the following contact phone number (757) 842-3824.

The enumeration date for this NPI number is 4/17/2019 and was last updated on 10/28/2019.

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	363LG0600X	Nurse Practitioner	Gerontology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	83-442501	OTHER	GEORGIA	INTERNAL REVENUE SERVICES

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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