Organization
UNIVERSITY OF NORTHGEORGIA
Active
Other names
Appalachian Nurse Practitioner Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM HUDSON-GALLOGLY PHD, APRN-BC (PROJECT DIRECTOR)
(706) 864-1934
Entity
Organization
Contact information
Practice address
82 COLLEGE CIRCLE, HNS BUILDING, SUITE102, DAHLONEGA, GA 30597-0001
(706) 867-2713
(706) 867-3249
Mailing address
82 COLLEGE CIRCLE, HNS BUILDING, SUITE102, DAHLONEGA, GA 30597-0001
(706) 867-2713
(706) 867-3249
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
053488
GA
261QP2300X
Primary Care Clinic/Center
113863
GA
261QP2300X
Primary Care Clinic/Center
Primary
169909
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003132118A
—
GA
05
—
003134646A
—
GA
05
—
539432806B
—
GA
Enumeration date
10/28/2013
Last updated
10/28/2013
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