Organization
LONG TERM CARE NURSE PRACTITIONER SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HUNT (CHIEF EXECUTIVE OFFICER)
(404) 881-2860
Entity
Organization
Contact information
Practice address
1201 PEACHTREE ST, 400 COLONY SQUARE, SUITE 200, ATLANTA, GA 30361-3503
(404) 881-2860
Mailing address
1201 PEACHTREE ST, 400 COLONY SQUARE, SUITE 200, ATLANTA, GA 30361-3503
(404) 881-2860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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