Doctor Name: | MELINDA BAGGS |
NPI Number: | 1679789895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN104200 |
Business Practice Address: | 1061 Harmon Ave Ste 1d03 Ft Stewart, GA - 313145674 |
Business Phone Number: | 9124355071 |
Business Fax Number: | 9124355009 |
Mailing Address: | 1061 Harmon Ave, Ste 1d03 FT STEWART |
State: | GA |
Postal Code: | 313145674 |
Phone Number: | 9124355071 |
Fax Number: | 9124355009 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 08/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN104200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |