| Organization Name: | ADVANCED MEDICAL SERVICES |
| NPI Number: | 1306859830 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NIKALE CLARK (PRESIDENT/OWNER) |
| Mailing Address: | 5518 Wind River Ln Powder Springs |
| State: | GA US |
| Postal Code: | 301279528 |
| Phone Number: | 6789102931 |
| Fax Number: | |
| NPI Enumeration Date: | 08/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |