Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | RN222787 | GA |
N | 363LG0600X | Nurse Practitioner - Gerontology | RN222787 | GA |
NPI | 1013365550 |
---|---|
Provider Name | Mrs. Margaret Fitch Mcclellan |
First Address | Savannah, GA 31416-1938 |
Second Address | Savannah, GA 31405-6089 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2016 |
Last Update Date | 05/11/2020 |