Unknown Individual – Family Nurse Practitioner, NPI 1609830140
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1148 ROCKY SHOALS DR
MIDLAND, GA 318204803
Phone: (706) 568-9241
Type: Mailing
Fort Benning, Cusseta-Chattahoochee County, Chattahoochee County, Georgia, 31905, United States
FORT BENNING, GA 319055647
Phone: (706) 544-1023
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 31820)
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