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General NPI Number Information
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NPI Number | 1154539880
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Entity Type | Organization
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Legal Business Name | PRIORITY CARE MEDICAL CENTER
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6553 HIGHWAY 41
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City | RINGGOLD
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State | GA
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Zip | 30736-2641
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Country | US
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Telephone | 706-937-2777
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Fax | 706-937-3012
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Provider Business Mailing Address
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Address Line | 6553 HIGHWAY 41
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City | RINGGOLD
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State | GA
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Zip | 30736-2641
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Country | US
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Telephone | 706-937-2777
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CYNTHIA K THORNTON
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Credential | N.P.C.
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Telephone | 706-937-2777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN161233
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R117550
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License Number State | GA
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