Organization · Type 2 NPI

The Baxley and Appling County Hospital Authority

Family Nurse Practitioner · Baxley, GA

NPI number 1891149100 Active

Practice location

507 Fair St
Baxley, GA 31513-0112

Fax (912) 367-1272

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	RN116307 (GA)

Family Nurse Practitioner: Definition to come...

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Southern Family Walk-InFamily Nurse Practitioner Baxley, GA NPI 1588266977
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Healthie Community Center LLCFamily Nurse Practitioner Baxley, GA NPI 1881228039
Appling Family Total Healthcare, P.c.Family Nurse Practitioner Baxley, GA NPI 1922378702

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NPI record

NPI: 1891149100
Entity type: Organization (Type 2)
Issued: Apr 22, 2016
Last updated: May 16, 2016
Status: Active
Subpart: Yes of The Baxley and Appling County Hospital Authority

Other names

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Southern Peaches A Division of Appling Healthcare System · doing business as

Authorized official

Mr. Raymond James Leadbetter
CEO
(912) 367-9841

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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 1891149100

The Baxley and Appling County Hospital Authority's National Provider Identifier is 1891149100, issued on Apr 22, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baxley, GA. The record was last updated on May 16, 2016.