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NPI Code Detail

MEDICARE: MARIE BETTY BOSSE

MEDICARE: MARIE BETTY BOSSE
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
1363LA2200XAdult Health Nurse PractitionerNP154543GA

General Provider Information

NPI Number : 1295664498
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE BETTY BOSSE
Provider Business Mailing Address
First Line : 777 HEMLOCK ST
Second Line :
City : MACON
State : GA
Zip : 31201-2102
Country : US
Telephone Number : 478-633-1000
Fax Number :
Provider Business Practice Location Address
First Line : 777 HEMLOCK ST
Second Line :
City : MACON
State : GA
Zip : 31201-2102
Country : US
Telephone Number : 478-633-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2026
Last Update Date : 05/15/2026

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Directions to “ MARIE BETTY BOSSE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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