Unknown Individual – Medical-Surgical Registered Nurse, NPI 1194877209
Medical-Surgical Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
859 ECTOR CHASE NW
KENNESAW, GA 301524788
Phone: (770) 614-4177
Fax: (770) 427-6396
Type: Location
Marietta Post Office, 257, Lawrence Street Northeast, Marietta, Cobb County, Georgia, 30060, United States
MARIETTA, GA 300613235
Phone: (770) 614-4177
Fax: (770) 427-6396
Type: Mailing
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30152)
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