Organization
NORTHEAST GEORGIA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ELIZABETH FAIRCHILDS ACNP-BC (MID LEVEL PROVIDER)
(864) 314-9526
Entity
Organization
Contact information
Practice address
115 MELIA LN, ANDERSON, SC 29625-6361
(864) 314-9526
Mailing address
115 MELIA LN, ANDERSON, SC 29625-6361
(864) 314-9526
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN205146
GA
Other
Enumeration date
11/07/2012
Last updated
03/14/2013
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