Organization
NURSESOURCE CARE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHEA BAILEY-BUTTS RN (CEO)
(770) 617-9555
Entity
Organization
Contact information
Practice address
8114 WOODLAND AVE SE, COVINGTON, GA 30014-3966
(770) 617-9555
Mailing address
8114 WOODLAND AVE SE, COVINGTON, GA 30014-3966
(770) 617-9555
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
RN16047
GA
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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