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NPI Code Detail

MEDICARE: JOSHUA RAYFORD NP-C

MEDICARE: JOSHUA RAYFORD 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 PractitionerRN208430GA

General Provider Information

NPI Number : 1538607262
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA RAYFORD NP-C
Provider Business Mailing Address
First Line : 1520 AVENUE PL
Second Line :
City : ATLANTA
State : GA
Zip : 30329-4015
Country : US
Telephone Number : 678-906-6140
Fax Number :
Provider Business Practice Location Address
First Line : 1520 AVENUE PL
Second Line :
City : ATLANTA
State : GA
Zip : 30329-4015
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2017
Last Update Date : 03/03/2017

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