# PROFESSIONAL NURSING ASSOCIATES OF GEORGIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124585005
- **Authorized official:** TAMMY S ROWE RN (OWNER)
- **Authorized official phone:** (678) 682-4400

## Contact information

- **Practice address:** 110 HABERSHAM DR STE 152, FAYETTEVILLE, GA 30214-1381
- **Practice address phone:** (678) 582-9215
- **Mailing address:** 110 HABERSHAM DR STE 152, FAYETTEVILLE, GA 30214-1381
- **Mailing address phone:** (678) 582-9215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2019
- **Last updated:** 04/17/2025