Organization · Type 2 NPI

Personal Primary Care of Georgia

Primary Care Nurse Practitioner · Dacula, GA

NPI number 1184215428 Active

Practice location

1295 Chippewa Oak Dr
Dacula, GA 30019-1288

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

About NPI 1184215428

Personal Primary Care of Georgia's National Provider Identifier is 1184215428, issued on Jan 29, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Dacula, GA. The record was last updated on Jan 29, 2021.