Individual provider · Type 1 NPI
Archie Person Iii, ACNPC-AG
Acute Care Nurse Practitioner · Fortson, GA
NPI number
1487296034
Active
Practice location
7933 Ivy Park Dr
Fortson, GA 31808-6870
Fax (706) 587-0716
Mailing address
145 Lockmeade Way
Fayetteville, GA 30215-8185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | RN221260 (GA) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1487296034
Archie Person Iii, ACNPC-AG's National Provider Identifier is 1487296034, issued on Oct 16, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Fortson, GA. The record was last updated on Jul 14, 2020.