Healthcare Provider Details

I. General information

NPI: 1790142271
Provider Name (Legal Business Name): BRITTANY LEIGH PALMER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY NEATHERLY

II. Dates (important events)

Enumeration Date: 01/28/2016
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 OGLETHORPE AVE STE 3400
ATHENS GA
30606
US

IV. Provider business mailing address

PO BOX 161463
ATLANTA GA
30321-1463
US

V. Phone/Fax

Practice location:
  • Phone: 706-613-6080
  • Fax: 706-613-6562
Mailing address:
  • Phone: 706-369-5440
  • Fax: 706-369-5490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN199208
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: