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NPI Code Detail

MEDICARE: ANTHONY MARK LANDOWSKI FNP

MEDICARE: ANTHONY MARK LANDOWSKI FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WE0003XEmergency Registered NurseRN268836GA
2363LF0000XFamily Nurse PractitionerAPRN-NP268836GA

General Provider Information

NPI Number : 1114666708
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY MARK LANDOWSKI FNP
Provider Business Mailing Address
First Line : PO BOX 12938
Second Line : C/O CLINIC MANAGEMENT
City : CALHOUN
State : GA
Zip : 30703
Country : US
Telephone Number : 706-602-7800
Fax Number :
Provider Business Practice Location Address
First Line : 400 TIMMS RD NE
Second Line :
City : CALHOUN
State : GA
Zip : 30701-7016
Country : US
Telephone Number : 706-625-0022
Fax Number : 706-625-8586
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2022
Last Update Date : 04/02/2026

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