Unknown Individual – Nurse Practitioner, NPI 1013948330
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
339, Sinclair Avenue Northeast, Linwood, Old Fourth Ward, Atlanta, Fulton County, Georgia, 30307, United States
ATLANTA, GA 303071928
Phone:
Type: Mailing
Atlanta VA Medical Center, 1670, Clairmont Road, North Decatur, DeKalb County, Georgia, 30033, United States
DECATUR, GA 300334004
Phone: (404) 728-7748
Fax: (404) 728-7782
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30307)
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