# LONG TERM CARE NURSE PRACTITIONER SERVICES, LLC

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

## Provider details

- **NPI number:** 1235401423
- **Authorized official:** MARK HUNT (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (404) 881-2860

## Contact information

- **Practice address:** 1201 PEACHTREE ST, 400 COLONY SQUARE, SUITE 200, ATLANTA, GA 30361-3503
- **Practice address phone:** (404) 881-2860
- **Mailing address:** 1201 PEACHTREE ST, 400 COLONY SQUARE, SUITE 200, ATLANTA, GA 30361-3503
- **Mailing address phone:** (404) 881-2860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2012
- **Last updated:** 02/02/2012