Doctor Name: | JOSEPH C. PENICK |
NPI Number: | 1184022964 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNA |
License Number: | RN211608 |
Business Practice Address: | 1968 Peachtree Rd., Nw Atlanta, GA - 303091281 |
Business Phone Number: | 4043511745 |
Business Fax Number: | 4043517121 |
Mailing Address: | 2855 Old Highway 5, BLUE RIDGE |
State: | GA |
Postal Code: | 305136248 |
Phone Number: | 7066323711 |
Fax Number: | 7069464430 |
NPI Enumeration Date: | 12/10/2014 |
NPI Last Update Date: | 10/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | RN211608 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |