MEDICARE: MRS. CAMILLE YORK LEDFORD NP

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
1	363LA2200X	Adult Health Nurse Practitioner	RN154445	GA

General Provider Information

NPI Number	:	1235301946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAMILLE YORK LEDFORD NP

Provider Business Mailing Address
First Line	:	110 S MAIN ST
Second Line	:
City	:	HIAWASSEE
State	:	GA
Zip	:	30546-3408
Country	:	US
Telephone Number	:	706-896-5858
Fax Number	:	706-896-5959

Provider Business Practice Location Address
First Line	:	103 CHURCH ST
Second Line	:
City	:	HIAWASSEE
State	:	GA
Zip	:	30546-3223
Country	:	US
Telephone Number	:	706-896-5858
Fax Number	:	706-896-5959

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2008
Last Update Date	:	08/28/2025

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