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General NPI Number Information
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NPI Number | 1710646955
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Entity Type | Organization
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Legal Business Name | MH HEALTH CARE SERVICES, PC
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Dates
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Enumeration Date | 12/15/2021
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 712 W PEACHTREE ST NW FL 16
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City | ATLANTA
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State | GA
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Zip | 30308-1139
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Country | US
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Telephone | 470-443-2356
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Fax |
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Provider Business Mailing Address
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Address Line | 20 WINOOSKI FALLS WAY
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City | WINOOSKI
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State | VT
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Zip | 05404-2228
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Country | US
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Telephone | 802-857-0400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TERRY LAYMAN
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Credential | MD
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Telephone | 370-522-0844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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