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NPI Code Detail

MEDICARE: OLINTHIA ANGRUM RN

MEDICARE:   OLINTHIA  ANGRUM  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN101044GA

General Provider Information

NPI Number : 1306289269
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLINTHIA ANGRUM RN
Provider Business Mailing Address
First Line : 3700 MARTIN LUTHER KING JR DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30331-3674
Country : US
Telephone Number : 404-613-4215
Fax Number : 404-893-6761
Provider Business Practice Location Address
First Line : 3700 MARTIN LUTHER KING JR DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30331-3674
Country : US
Telephone Number : 404-613-4215
Fax Number : 404-893-6761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2013
Last Update Date : 04/10/2013

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Directions to “ OLINTHIA ANGRUM RN” Practice Location

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