Organization
JOURNEYCARE FAMILY MEDICINE, LLC
Active
Organization
JOURNEYCARE FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTRICE NICHOLS-BATES DNP, FNP-C (CO-OWNER/ MEDICAL DIRECTOR)
(470) 278-2618
Entity
Organization
Contact information
Practice address
126 N PARK DR, FAYETTEVILLE, GA 30214-1645
(470) 316-8028
(678) 519-2736
Mailing address
126 N PARK DR, FAYETTEVILLE, GA 30214-1645
(470) 278-2618
(678) 519-2736
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
01/16/2025
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