Doctor Name: | CASSANDRA BETTS |
NPI Number: | 1912340928 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN148536 |
Business Practice Address: | 3580 Atlanta Ave Hapeville, GA - 303541706 |
Business Phone Number: | 4047683351 |
Business Fax Number: | 4047632002 |
Mailing Address: | 225 Main St Unit 1134, HIRAM |
State: | GA |
Postal Code: | 301416110 |
Phone Number: | 6787480517 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2013 |
NPI Last Update Date: | 04/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | RN148536 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |