DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. PHYLLIS NADEAU LANDERS NP-C

MEDICARE: MRS. PHYLLIS NADEAU LANDERS NP-C
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
1363LF0000XFamily Nurse PractitionerRN096607GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101372617OTHERGAAMERIGROUP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3563030OTHERGAWELLCARE OF GEORGIA

General Provider Information

NPI Number : 1306027255
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PHYLLIS NADEAU LANDERS NP-C
Provider Business Mailing Address
First Line : PO BOX 658
Second Line :
City : GAINESVILLE
State : GA
Zip : 30503-0658
Country : US
Telephone Number : 770-718-1122
Fax Number : 770-535-7445
Provider Business Practice Location Address
First Line : 4222 FAIRBANKS DR
Second Line :
City : OAKWOOD
State : GA
Zip : 30566-2811
Country : US
Telephone Number : 770-534-6053
Fax Number : 770-534-6695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2007
Last Update Date : 07/19/2011

Similar Medicare Providers

1083694905 — MARTI RENEE GIBBS MD
Practice Location Address:
4222 FAIRBANKS DR
OAKWOOD, GA
30566-2811
Practice Phone: 770-534-6053
Practice Fax: 770-534-6695
1760452783 — JOHN NEEL RANGE MD
Practice Location Address:
4222 FAIRBANKS DR
OAKWOOD, GA
30566-2811
Practice Phone: 770-534-6053
Practice Fax: 770-534-6695
1629043641 — SUSAN ELIZABETH BURGER NP
Practice Location Address:
4222 FAIRBANKS DR
OAKWOOD, GA
30566-2811
Practice Phone: 770-534-6053
Practice Fax: 770-534-6695
1932381464 — MRS. LINDA S COLLINS FNP-C
Practice Location Address:
4222 FAIRBANKS DR
OAKWOOD, GA
30566-2811
Practice Phone: 770-534-6053
Practice Fax: 770-534-6695
1730365784 — MS. KOMMERINA DALING M.D.
Practice Location Address:
4222 FAIRBANKS DR
OAKWOOD, GA
30566-2811
Practice Phone: 770-534-6053
Practice Fax: 770-535-7915
1700226131 — DR. KELLY NICOLE O'DELL M.D.
Practice Location Address:
4222 FAIRBANKS DR
OAKWOOD, GA
30566-2811
Practice Phone: 770-534-6053
Practice Fax: 770-534-6050

Directions to “ MRS. PHYLLIS NADEAU LANDERS NP-C” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.