Healthcare Provider Details
I. General information
NPI: 1316424690
Provider Name (Legal Business Name): ABIGAIL C NAYLOR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/19/2018
Last Update Date: 03/25/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2122 MANCHESTER EXPY
COLUMBUS GA
31904-6878
US
IV. Provider business mailing address
2122 MANCHESTER EXPY
COLUMBUS GA
31904-6878
US
V. Phone/Fax
- Phone: 706-596-4000
- Fax:
- Phone: 706-320-2773
- Fax: 706-596-4226
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | 1-127577 |
| License Number State | AL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | RN203501 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: