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NPI Code Detail

MEDICARE: ANN GOBER NIX ANP-BC

MEDICARE: ANN GOBER NIX ANP-BC
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 PractitionerRN050782GA

General Provider Information

NPI Number : 1326224460
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN GOBER NIX ANP-BC
Provider Business Mailing Address
First Line : 2252 CAPERS DR
Second Line :
City : MARIETTA
State : GA
Zip : 30064-1111
Country : US
Telephone Number : 678-231-1880
Fax Number :
Provider Business Practice Location Address
First Line : 1000 JOHNSON FERRY RD
Second Line :
City : ATLANTA
State : GA
Zip : 30342-1611
Country : US
Telephone Number : 404-851-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2008
Last Update Date : 07/10/2022

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Directions to “ ANN GOBER NIX ANP-BC” Practice Location

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