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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NURSE PRACTIONER

Active Organization

NURSE PRACTIONER is a Community Health Center organization located in KENNESAW, Georgia. NPI 1629519202 is currently active in the NPPES registry. Verify at CMS.

Community Health Center · KENNESAW, GA

Registration Details

NPI Number
1629519202
Provider Type
Organization
NPI Issued
Mar 15, 2017 (9.4519513680089 yrs)
Last Updated
Mar 15, 2017
Licenses
193760 (GA)
193760 (GA)

Practice Information

Address
4044 GEORGE BUSBEE PKWY NW APT 4207
KENNESAW, GA, 301446890
Browse GA providers · Browse ZIP 30144
Phone
4045791658
Primary Specialty
Community Health Center
261QC1500X
Additional Specialty
Community Health Center
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.