Doctor Name: | FLORENCE O BAGGS |
NPI Number: | 1659428720 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN089010 |
Business Practice Address: | 213 N Mcdonald St Suite A & B Ludowici, GA - 31316 |
Business Phone Number: | 9125459398 |
Business Fax Number: | 9125452747 |
Mailing Address: | Po Box 1520, HINESVILLE |
State: | GA |
Postal Code: | 313108520 |
Phone Number: | 9125459398 |
Fax Number: | 9125452747 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 05/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | RN089010 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |