Organization · Type 2 NPI
Radical Health Medical Group, P.a.
Nurse Practitioner · Hahira, GA
Practice location
5807 Mcdonald Rd
Hahira, GA 31632-3627
Mailing address
Pmb 10166, 1 Sansome St Ste 1400
San Francisco, CA 94104-4431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oncology Registered Nurse | 163WX0200X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Nurse Practitioner Primary | 363L00000X | None 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…
About NPI 1679486450
Radical Health Medical Group, P.a.'s National Provider Identifier is 1679486450, issued on Sep 23, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hahira, GA. The record was last updated on Oct 30, 2026.