Individual provider · Type 1 NPI
Octavia Moore Hedge, FNP-BC
Primary Care Nurse Practitioner · Austell, GA
NPI number
1174164289
Active
Practice location
1707 Blair Bridge Rd
Austell, GA 30168-5537
Mailing address
8601 Baldwin Pkwy Ste 100
Douglasville, GA 30134-5626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | RN-147913-NP (GA) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1174164289
Octavia Moore Hedge, FNP-BC's National Provider Identifier is 1174164289, issued on Oct 1, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Austell, GA. The record was last updated on Nov 29, 2019.