Individual
MARY ELAINE HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN-BC, FNP-C
Contact information
Practice address
134 ANSLEY DR STE 700, DAHLONEGA, GA 30533-1641
(706) 864-2155
(706) 374-7628
Mailing address
165 BLUE RIDGE OVERLOOK, BLUE RIDGE, GA 30513-4431
(706) 946-5607
(706) 374-7628
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN053488
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
539432806C
—
GA
Enumeration date
05/25/2006
Last updated
05/25/2022
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