Susan B Wilson in Cedartown - Nurse Practitioner
Susan B Wilson - NPI 1205844842
Susan B Wilson is a Nurse Practitioner in Cedartown, Georgia. Susan B Wilson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan B Wilson is 1205844842. The last update date is 2007-07-09.
Susan B Wilson's current location address is 134 E Fairmount Ave, Cedartown, Georgia. You can contact this provider via phone number 7707485212 and fax number 7707482944. The mailing address for Susan B Wilson is 134 E Fairmount Ave, Cedartown, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan B Wilson |
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Address | 134 E Fairmount Ave, Cedartown, Georgia |
Phone Number | 7707485212 |
Fax Number | 7707482944 |
Sole Proprietor | N |
Credentials | N.P. |
NPI Number Detail
NPI Number | 1205844842 |
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Provider Enumeration Date | 2006-08-03 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 134 E Fairmount Ave |
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City | Cedartown |
State | Georgia (GA) |
Post Code | 301252706 |
Phone Number | 7707485212 |
Fax Number | 7707482944 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | 45387 |
Definition: (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 certifi |
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What is the unique 10-digit identifier code assigned to Susan B Wilson by the Centers for Medicare & Medicaid Services?
The Susan B Wilson has been issued the NPI (National Provider Identifier) 1205844842 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Susan B Wilson?
The Susan B Wilson is situated at 134 E Fairmount Ave, in the city of Cedartown, state of GA, with the zip code 301252706.
What is Susan B Wilson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susan B Wilson is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Susan B Wilson receive its 1205844842 assignment from the Centers for Medicare & Medicaid Services?
The Susan B Wilson was assigned its 1205844842 by the Centers for Medicare & Medicaid Services on 2006-08-03.
When was the information pertaining to Susan B Wilson most recently updated or revised?
The details related to Susan B Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.