Doctor Name: | MRS. PATRICIA DALE MCTIER |
NPI Number: | 1609935865 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN089623 |
Business Practice Address: | 1781 Doc Mctier Rd Baxley, GA - 315135943 |
Business Phone Number: | 9123668644 |
Business Fax Number: | 9123668645 |
Mailing Address: | 1781 Doc Mctier Rd, BAXLEY |
State: | GA |
Postal Code: | 315135943 |
Phone Number: | 9123668644 |
Fax Number: | 9123668645 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN089623 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |