Individual
MARCIA LANETTE TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
105 CARNEGIE PL STE 103, FAYETTEVILLE, GA 30214-5900
(770) 716-7999
(770) 716-8444
Mailing address
105 CARNEGIE PL STE 103, FAYETTEVILLE, GA 30214-5900
(770) 716-7999
(770) 716-8444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
31506
SC
363L00000X
Nurse Practitioner
APRN11026894
FL
363L00000X
Nurse Practitioner
Primary
RN208133
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F06193081
NP CERTIFICATION NUMBER
GA
01
—
RN208133
FNP LICENSE
GA
Enumeration date
07/23/2019
Last updated
02/25/2026
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