Marjorie Frazier
Nurse Practitioner - Gerontology
4688 Trinity Ct
Marietta
, Georgia 30068-1671
Marjorie Frazier
Nurse Practitioner - Gerontology
4688 Trinity Ct
Marietta
, Georgia 30068-1671
(770) 973-3587
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Marjorie Frazier
- 4 S Hillcrest Dr Se
- Lindale, GA
- Zip : 30147-1255
- Fax : (770) 973-3587
- Phone : (706) 766-2280
Second Address
- Marjorie Frazier
- 4688 Trinity Ct
- Marietta, GA
- Zip : 30068-1671
- Fax : (770) 973-3587
- Phone : (770) 973-0687
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 066213 | GA |
National Provider Identifier
| NPI | 1073540134 |
|---|---|
| Provider Name | Marjorie Frazier |
| First Address | Lindale, GA 30147-1255 |
| Second Address | Marietta, GA 30068-1671 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00071145F | (05) | GA |
| 83-02312 | EVERCARE (01) | GA |
| S94052 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.