Mary Liles Booker in Tucker - Registered Nurse

Mary Liles Booker - NPI 1508892654

Mary Liles Booker is a Registered Nurse in Tucker, Georgia. Mary Liles Booker practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Mary Liles Booker is 1508892654. The last update date is 2007-07-08.

Mary Liles Booker's current location address is 3939 Lavista Rd Ste E, Tucker, Georgia. You can contact this provider via phone number 4043216111 and fax number 4044172936. The mailing address for Mary Liles Booker is 3939 Lavista Rd Ste E, Tucker, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Liles Booker
Address 3939 Lavista Rd Ste E, Tucker, Georgia
Phone Number 4043216111
Fax Number 4044172936
Sole Proprietor N
Credentials RN,BSN,MSN

NPI Number Detail

NPI Number 1508892654
Provider Enumeration Date 2006-06-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3939 Lavista Rd Ste E
City Tucker
State Georgia (GA)
Post Code 300845162
Phone Number 4043216111
Fax Number 4044172936

Provider's Primary Taxonomy Detail

Speciality Registered Nurse
Taxonomy 163W00000X
Licence No R040703
Definition:
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of

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FAQs about Mary Liles Booker

What is the unique 10-digit identifier code assigned to Mary Liles Booker by the Centers for Medicare & Medicaid Services?

The Mary Liles Booker has been issued the NPI (National Provider Identifier) 1508892654 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Mary Liles Booker's facilities are geographically located?

The facilities of Mary Liles Booker are physically situated at the following location: 3939 Lavista Rd Ste E, Tucker, GA, 300845162.

What is Mary Liles Booker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mary Liles Booker's specialized field of practice is Registered Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 163W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1508892654 to Mary Liles Booker?

The Centers for Medicare & Medicaid Services originally issued the 1508892654 to Mary Liles Booker on 2006-06-23.

As of what date were the details pertaining to Mary Liles Booker last refreshed?

The information related to the Mary Liles Booker, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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