Marion Family Practice

Organization Active NPI Family Nurse Practitioner · Buena Vista, GA

NPI 1871830653 · NPPES record last updated Jan 14, 2013

Key facts

NPI
1871830653
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN041402 (GA)
Legal business name
MARION FAMILY PRACTICE
Practice address
131 E 6TH Ave
Buena Vista, GA 31803-9714
Phone
(229) 277-9912
NPI assigned
Jan 14, 2013
Organization subpart
No

Authorized official

Name
Mrs. Tammie McClellan
Title
Office Manager
Phone
(706) 577-5295

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X RN041402 GA Yes

Addresses

Primary practice location

131 E 6TH Ave
Buena Vista, GA 31803-9714

Mailing address

131 E 6TH Ave
Buena Vista, GA 31803-9714
Phone (229) 277-9912

Other providers in Buena Vista, GA

All providers in Buena Vista, GA · Family Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.