Organization · Type 2 NPI
Southland Branch Family Practice, LLC
Family Nurse Practitioner · Americus, GA
NPI number
1700042553
Active
Practice location
151 Mayo St
Americus, GA 31709-3735
Fax (229) 928-3410
Mailing address
PO Box 546
Americus, GA 31709-0546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN127193 (GA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Americus
About NPI 1700042553
Southland Branch Family Practice, LLC's National Provider Identifier is 1700042553, issued on Jul 31, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Americus, GA. The record was last updated on Jul 31, 2008.