Organization
ORGANNIZER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NOTOYA SCOTT NP-C (NURSE PRACTITIONER)
(251) 391-4249
Entity
Organization
Contact information
Practice address
2320 HIGHWAY 20 SE, CONYERS, GA 30013-2426
(251) 391-4249
Mailing address
2320 HIGHWAY 20 SE, CONYERS, GA 30013-2426
(251) 391-4249
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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