Healthcare Provider Details

I. General information

NPI: 1740244235
Provider Name (Legal Business Name): SHELIA CLYDE RAMER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: SHELIA BARBREE RAMER ARNP

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 MARTIN LOOP
FORT BENNING GA
31905-5647
US

IV. Provider business mailing address

4136 FACEVILLE HWY
BAINBRIDGE GA
39819-6205
US

V. Phone/Fax

Practice location:
  • Phone: 706-544-1442
  • Fax: 706-544-1493
Mailing address:
  • Phone: 229-243-0907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN085730
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: