Organization · Type 2 NPI
Altamaha Primary Care, LLC
Primary Care Nurse Practitioner · Jesup, GA
NPI number
1093472896
Active
Practice location
248 NE Broad St
Jesup, GA 31546-4371
Fax (912) 559-2420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1093472896
Altamaha Primary Care, LLC's National Provider Identifier is 1093472896, issued on Nov 29, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Jesup, GA. The record was last updated on Nov 29, 2021.