Healthcare Provider Details

I. General information

NPI: 1619237054
Provider Name (Legal Business Name): FIRST ASSISTING SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2012
Last Update Date: 10/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1883 MCDONOUGH RD SUITE 200-D
HAMPTON GA
30228-3516
US

IV. Provider business mailing address

1883 MCDONOUGH RD SUITE 200-D
HAMPTON GA
30228-3516
US

V. Phone/Fax

Practice location:
  • Phone: 678-545-6775
  • Fax: 678-545-6777
Mailing address:
  • Phone: 678-545-6775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberRN128161
License Number StateGA

VIII. Authorized Official

Name: MRS. BARBARA JENKINS
Title or Position: OWNER
Credential: APRN FNP-BC
Phone: 678-545-6775