Healthcare Provider Details

I. General information

NPI: 1578556684
Provider Name (Legal Business Name): MARIE KERR EMERY NP-C, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 03/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 COLLEGE CIR ROOM 102, HNS BUILDING
DAHLONEGA GA
30597-0001
US

IV. Provider business mailing address

82 COLLEGE CIR ROOM 102 HNS BUILDING
DAHLONEGA GA
30597-0001
US

V. Phone/Fax

Practice location:
  • Phone: 706-867-2713
  • Fax: 706-867-3249
Mailing address:
  • Phone: 706-867-2713
  • Fax: 706-867-3249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number64364
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: