Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | RN047890 | GA |
NPI | 1932387024 |
---|---|
Provider Name | Carolyn Reeves-Wills |
First Address | Calhoun, GA 30701-9408 |
Second Address | Calhoun, GA 30701-9408 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2008 |
Last Update Date | 16/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000248091A | (05) | GA |
S26373 | (02) | GA |