Doctor Name: | MRS. LYNN DAVIS WAITS |
NPI Number: | 1013243013 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP |
License Number: | RN033697 |
Business Practice Address: | 100 College Station Dr Macon, GA - 312065100 |
Business Phone Number: | 4784712092 |
Business Fax Number: | |
Mailing Address: | 100 College Station Dr, MACON |
State: | GA |
Postal Code: | 312065100 |
Phone Number: | 4784712092 |
Fax Number: | |
NPI Enumeration Date: | 10/26/2009 |
NPI Last Update Date: | 10/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN033697 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |