MEDICARE: TRUE CARE HEALTH SOLUTIONS

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	363LF0000X	Family Nurse Practitioner	RN201165	GA

General Provider Information

NPI Number	:	1538494497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE CARE HEALTH SOLUTIONS

Provider Business Mailing Address
First Line	:	3866 AUGUSTINE PL
Second Line	:
City	:	REX
State	:	GA
Zip	:	30273-5822
Country	:	US
Telephone Number	:	678-343-1257
Fax Number	:

Provider Business Practice Location Address
First Line	:	3866 AUGUSTINE PL
Second Line	:
City	:	REX
State	:	GA
Zip	:	30273-5822
Country	:	US
Telephone Number	:	678-343-1257
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	DR. MAXINE ALBERTA MCGOWAN
Credential	:	PHD, FNP-C
Telephone Number	:	678-343-1257

Provider Enumeration Date	:	10/11/2009
Last Update Date	:	10/11/2009

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