Doctor Name: | MRS. HELEN CLAIR MEDLIN |
NPI Number: | 1053572172 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | RN070135 |
Business Practice Address: | 255 Prosperity Way Ne Adairsville, GA - 30121 |
Business Phone Number: | 6787210705 |
Business Fax Number: | 6787215116 |
Mailing Address: | 255 Prosperity Way Ne, Take Care Health @ Lowes Rome ADAIRSVILLE |
State: | GA |
Postal Code: | 30103 |
Phone Number: | 7067289151 |
Fax Number: | 7067289153 |
NPI Enumeration Date: | 06/20/2008 |
NPI Last Update Date: | 04/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN070135 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |