Healthcare Provider Details

I. General information

NPI: 1508141482
Provider Name (Legal Business Name): BEATRICE HURT MCKEE APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2011
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 HOSPITAL DRIVE.
CORDELE GA
31015
US

IV. Provider business mailing address

216 HOSPITAL DRIVE.
CORDELE GA
31015
US

V. Phone/Fax

Practice location:
  • Phone: 229-276-2000
  • Fax: 229-276-3634
Mailing address:
  • Phone: 229-276-2000
  • Fax: 229-276-3634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN117835
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: