Doctor Name: | BRITT S. MCRAE |
NPI Number: | 1093925604 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN123207 |
Business Practice Address: | 220 W. Montgomery St. Milledgeville, GA - 31061 |
Business Phone Number: | 4784455288 |
Business Fax Number: | 4784453142 |
Mailing Address: | 202 Commodore Dr Nw, MILLEDGEVILLE |
State: | GA |
Postal Code: | 310619280 |
Phone Number: | 4789685761 |
Fax Number: | 4784453142 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN123207 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |