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NPI Code Detail

MEDICARE: BUFFY SAXON MOSTELLER FNP

MEDICARE:   BUFFY SAXON MOSTELLER  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
1363LF0000XFamily Nurse PractitionerRN170080GA

General Provider Information

NPI Number : 1427398007
Entity Type Code : Individual
Provider Name (Legal Business Name) : BUFFY SAXON MOSTELLER FNP
Provider Business Mailing Address
First Line : 1575 CHATTANOOGA AVE STE 1
Second Line :
City : DALTON
State : GA
Zip : 30720-2672
Country : US
Telephone Number : 706-879-2130
Fax Number :
Provider Business Practice Location Address
First Line : 1575 CHATTANOOGA AVE STE 1
Second Line :
City : DALTON
State : GA
Zip : 30720-2672
Country : US
Telephone Number : 706-876-2130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2013
Last Update Date : 01/14/2014

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Directions to “ BUFFY SAXON MOSTELLER FNP” Practice Location

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