Healthcare Provider Details

I. General information

NPI: 1396477535
Provider Name (Legal Business Name): NATALIE CHRISTINE THURMOND NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 06/27/2022
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 COLLIER RD NW STE 250
ATLANTA GA
30309-1701
US

IV. Provider business mailing address

1031 HILLSDALE ST SE
SMYRNA GA
30080-3413
US

V. Phone/Fax

Practice location:
  • Phone: 404-355-1285
  • Fax:
Mailing address:
  • Phone: 678-787-1471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN245740
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN245740
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: