Organization · Type 2 NPI

Georgia Em-I Medical Service PC

Nurse Practitioner · Snellville, GA

NPI number 1184990202 Active

Practice location

1700 Medical Way
Snellville, GA 30078-2195

Mailing address

18167 US Highway 19 North Suite 650
Clearwater, FL 33764-3528

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1184990202

Georgia Em-I Medical Service PC's National Provider Identifier is 1184990202, issued on Mar 23, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Snellville, GA. The record was last updated on Mar 22, 2023.