Organization · Type 2 NPI
Physical Life LLC
Family Nurse Practitioner · Mcdonough, GA
NPI number
1386524437
Active
Practice location
850 Hampton Rd
Mcdonough, GA 30253-6514
Mailing address
191 Barclay Dr
Mcdonough, GA 30252-8035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1386524437
Physical Life LLC's National Provider Identifier is 1386524437, issued on Sep 8, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mcdonough, GA. The record was last updated on Sep 8, 2025.