Organization Name: | PRIORITY CARE MEDICAL CENTER |
NPI Number: | 1154539880 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA K THORNTON (PRESIDENT) |
Mailing Address: | 6553 Highway 41 Ringgold |
State: | GA US |
Postal Code: | 307362641 |
Phone Number: | 7069372777 |
Fax Number: | 7069373012 |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN161233 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |