Organization · Type 2 NPI
Menlo Family Medicine, PC
Family Nurse Practitioner · Menlo, GA
NPI number
1154719623
Active
Practice location
2968 Hwy 337
Menlo, GA 30731-0147
Fax (706) 862-1718
Mailing address
PO Box 147, 7th Ave
Menlo, GA 30731-0147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN045044 (GA) |
Family Nurse Practitioner: Definition to come...
About NPI 1154719623
Menlo Family Medicine, PC's National Provider Identifier is 1154719623, issued on Jan 6, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Menlo, GA. The record was last updated on Jan 6, 2015.