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Organization

GEORGIA NP HOUSE CALLS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TERRI T. VAN DORN ACNP-C (OWNER OPERATOR)
(678) 923-1807
Entity
Organization

Contact information

Practice address
2007 PINE FOREST CT, JONESBORO, GA 30236-5417
(678) 923-1807
Mailing address
2007 PINE FOREST CT, JONESBORO, GA 30236-5417
(678) 923-1807

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251F00000X
Home Infusion Agency
251J00000X
Nursing Care Agency
251K00000X
Public Health or Welfare Agency
261QH0100X
Health Service Clinic/Center

Other

Enumeration date
04/28/2021
Last updated
04/28/2021
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