Mrs. Carrie Jackson Scruggs
Nurse Practitioner - Acute Care
1500 Oglethorpe Ave Ste 3300
Athens
, Georgia 30606-2190
Mrs. Carrie Jackson Scruggs
Nurse Practitioner - Acute Care
1500 Oglethorpe Ave Ste 3300
Athens
, Georgia 30606-2190
(706) 208-1406
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Mrs. Carrie Jackson Scruggs
- 1500 Oglethorpe Ave Suite 3300
- Athens, GA
- Zip : 30606-2179
- Phone : (706) 208-1406
Second Address
- Mrs. Carrie Jackson Scruggs
- 1500 Oglethorpe Ave Ste 3300
- Athens, GA
- Zip : 30606-2190
- Phone : (706) 208-1406
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Is Mrs. Carrie Jackson Scruggs a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | RN141155NP | GA |
National Provider Identifier
| NPI | 1043520067 |
|---|---|
| Provider Name | Mrs. Carrie Jackson Scruggs |
| First Address | Athens, GA 30606-2179 |
| Second Address | Athens, GA 30606-2190 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/10/2010 |
| Last Update Date | 30/01/2016 |
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.