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General NPI Number Information
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NPI Number | 1801954615
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Entity Type | Organization
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Legal Business Name | NURSE MANAGEMENT SERVICES OF GEORGIA, INC.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 150 MEDICAL WAY
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City | RIVERDALE
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State | GA
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Zip | 30274-2533
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Country | US
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Telephone | 770-991-6645
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Fax | 770-991-6972
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Provider Business Mailing Address
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Address Line | 150 MEDICAL WAY STE D3
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City | RIVERDALE
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State | GA
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Zip | 30274-2533
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Country | US
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Telephone | 770-991-6645
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Fax | 770-991-6972
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MICHELLE COOPER
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Credential |
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Telephone | 77709916645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 031-R-0044
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 031-R-0044
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License Number State | GA
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