Kelley Sue Wharton is a Family in Lilburn, Georgia. Kelley Sue Wharton practices all healthcare services and medical treatments related to Family. The NPI Number for Kelley Sue Wharton is 1902061864. The last update date is 2008-07-21.
Kelley Sue Wharton's current location address is 4120 Five Forks Trickum Rd Sw, Lilburn, Georgia. You can contact this provider via phone number 7709216900 and fax number 7709216313. The mailing address for Kelley Sue Wharton is 4120 Five Forks Trickum Rd Sw, Lilburn, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley Sue Wharton |
|---|---|
| Address | 4120 Five Forks Trickum Rd Sw, Lilburn, Georgia |
| Phone Number | 7709216900 |
| Fax Number | 7709216313 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1902061864 |
|---|---|
| Provider Enumeration Date | 2008-07-21 |
| Last Updated Date | 2008-07-21 |
Provider Mailing Address Detail
| Address | 4120 Five Forks Trickum Rd Sw |
|---|---|
| City | Lilburn |
| State | Georgia (GA) |
| Post Code | 300473130 |
| Phone Number | 7709216900 |
| Fax Number | 7709216313 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN113675 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identifier code issued to Kelley Sue Wharton by the Centers for Medicare & Medicaid Services?
The Kelley Sue Wharton has been assigned the NPI (National Provider Identifier) 1902061864. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kelley Sue Wharton's physical address?
The Kelley Sue Wharton is physically located at 4120 Five Forks Trickum Rd Sw, in the city of Lilburn, GA, with the postal code 300473130.
What is Kelley Sue Wharton's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelley Sue Wharton's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902061864 to Kelley Sue Wharton?
The Kelley Sue Wharton received its 1902061864 assignment from the Centers for Medicare & Medicaid Services on 2008-07-21.
When was the information regarding Kelley Sue Wharton most recently updated?
The details pertaining to the Kelley Sue Wharton, including its address, specialty, and other relevant information, were last refreshed on 2008-07-21.
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