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NPI Code Detail

MEDICARE: MRS. JOAN MARY GARRAMONE NURSE PRACTITIONER

MEDICARE: MRS. JOAN MARY GARRAMONE NURSE PRACTITIONER
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
1363LW0102XWomen's Health Nurse PractitionerRN061871NPGA

General Provider Information

NPI Number : 1538235114
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOAN MARY GARRAMONE NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 3581 MANSIONS PKWY
Second Line :
City : BERKELEY LAKE
State : GA
Zip : 30096-2961
Country : US
Telephone Number : 770-448-5328
Fax Number :
Provider Business Practice Location Address
First Line : 3850 PLEASANT HILL RD
Second Line : SUITE B
City : DULUTH
State : GA
Zip : 30096-4807
Country : US
Telephone Number : 678-584-9223
Fax Number : 678-584-9221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2006
Last Update Date : 07/08/2007

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