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NPI Code Detail

MEDICARE: MS. PAULA M FAGLIER NP-C

MEDICARE: MS. PAULA M FAGLIER NP-C
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
1363LF0000XFamily Nurse PractitionerF01191655GA

General Provider Information

NPI Number : 1992261358
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAULA M FAGLIER NP-C
Provider Business Mailing Address
First Line : 2081 FERNWOOD CIR
Second Line :
City : AUGUSTA
State : GA
Zip : 30906-3680
Country : US
Telephone Number : 706-831-8486
Fax Number :
Provider Business Practice Location Address
First Line : 2420 WINDSOR SPRING RD
Second Line :
City : AUGUSTA
State : GA
Zip : 30906-4668
Country : US
Telephone Number : 706-790-0661
Fax Number : 706-790-2587
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2019
Last Update Date : 02/11/2019

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