Doctor Name: | KRISTIN F DEUTSCH |
NPI Number: | 1043215924 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | RN123631 NP |
Business Practice Address: | 112 Mimosa Dr Thomasville, GA - 317926605 |
Business Phone Number: | 2292270045 |
Business Fax Number: | 2292279120 |
Mailing Address: | 114 Parkway Dr, THOMASVILLE |
State: | GA |
Postal Code: | 317926747 |
Phone Number: | 2292270045 |
Fax Number: | 2292279120 |
NPI Enumeration Date: | 06/16/2005 |
NPI Last Update Date: | 03/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN123631 NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |