Tammy Hydrick, RN
Individual provider Active NPI Registered Nurse · Bremen, GA
NPI 1760929145 · NPPES record last updated Jan 24, 2017
Key facts
- NPI
- 1760929145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN141772 (GA)
- Practice address
- 1449 Temple Rd
Bremen, GA 30110-2378 - Phone
- (770) 537-2367
- Fax
- (770) 537-1203
- NPI assigned
- Jan 24, 2017
- 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 |
|---|---|---|---|
| RN141772 | GA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN141772 | GA | Yes |
Addresses
Primary practice location
1449 Temple Rd
Bremen, GA 30110-2378
Mailing address
1449 Temple Rd
Bremen, GA 30110-2378
Phone (770) 537-2367
Other providers in Bremen, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2017. 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.