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Contact Information

ADVANCED WELLNESS CARE P.C.
108 BYRD WAY
SUITE 100
WARNER ROBINS, GA31088
 Phone: 478-333-3026
 Fax: 478-254-5102
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADVANCED WELLNESS CARE PC · (Female)

NPI Number 1043620966
Status Active
Credentials
Entity Individual
Enumeration date 04/30/2014
Last updated 08/18/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # RN142278
  • GA License # RN190791
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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