Becky D Carver, RN
Individual provider Active NPI Registered Nurse · Douglas, GA
NPI 1679580898 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679580898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN106089 (GA)
- Practice address
- 1100 Ward St W
Douglas, GA 31533-1902 - Phone
- (912) 389-4717
- Fax
- (912) 389-4725
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN106089 | GA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN106089 | GA | Yes |
Addresses
Primary practice location
1100 Ward St W
Douglas, GA 31533-1902
Mailing address
1100 Ward St W
Douglas, GA 31533-1902
Phone (912) 389-4717
Other providers in Douglas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.