Individual provider · Type 1 NPI
Paige Gantt
Critical Care Medicine Nurse Practitioner · Lawrenceville, GA
NPI number
1487048591
Active
Practice location
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Fax (470) 325-0191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN190775 (GA) |
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | RN190775 (GA) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1487048591
Paige Gantt's National Provider Identifier is 1487048591, issued on Mar 26, 2015. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Lawrenceville, GA. The record was last updated on Oct 15, 2020.