Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | RN279567 | GA |
N | 363L00000X | Nurse Practitioner | 5007958 | NC |
Y | 363LA2100X | Nurse Practitioner - Acute Care | RN279567 | GA |
NPI | 1366810590 |
---|---|
Provider Name | Rebecca Cawthon |
First Address | Atlanta, GA 30329-4021 |
Second Address | Atlanta, GA 30322-8407 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2015 |
Last Update Date | 11/09/2019 |