Organization · Type 2 NPI

Dr. Coretta D. Gervin Healthcare

Home Health Registered Nurse · Albany, GA

NPI number 1467091629 Active

Practice location

414 N Westover Blvd Ste D1
Albany, GA 31707-2102

Fax (229) 234-1391

Specialties and licenses

Taxonomy	Code	License
Home Health Registered Nurse Primary	163WH0200X	None listed
Nurse Practitioner	363L00000X	None listed

Home Health Registered Nurse: Definition to come...

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NPI record

NPI: 1467091629
Entity type: Organization (Type 2)
Issued: Jan 4, 2020
Last updated: Aug 10, 2023
Status: Active
Subpart: Yes of CDG Healthcare Provider, P.c.

Other names

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CDG Healthcare Provider, P.c. · doing business as

Authorized official

Dr. Coretta Delia Keith, DNP, FNP-BC
CEO
(404) 710-6646

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467091629

Dr. Coretta D. Gervin Healthcare's National Provider Identifier is 1467091629, issued on Jan 4, 2020. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Albany, GA. The record was last updated on Aug 10, 2023.