Individual
BAMBI L. FUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(770) 645-9181
(770) 645-8455
Mailing address
3155 N POINT PKWY, ATTN: CREDENTIALING DEPT., BUIDLING F, SUITE 100, ALPHARETTA, GA 30005-5481
(770) 645-9181
(770) 645-8455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN044573
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
799567901B
—
GA
Enumeration date
09/27/2005
Last updated
06/24/2008
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