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NPI Code Detail

MEDICARE: PRIMECARE RN SERVICES LLC

MEDICARE: PRIMECARE RN SERVICES LLC
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
1163W00000XRegistered Nurse

General Provider Information

NPI Number : 1629924204
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMECARE RN SERVICES LLC
Provider Business Mailing Address
First Line : 12026 JOJO CT
Second Line :
City : HAMPTON
State : GA
Zip : 30228-3483
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12026 JOJO CT
Second Line :
City : HAMPTON
State : GA
Zip : 30228-3483
Country : US
Telephone Number : 678-332-4324
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. SCHEDRIC D WHEELINGS SR.
Credential : RN
Telephone Number : 678-332-4324
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/06/2026

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Directions to “PRIMECARE RN SERVICES LLC ” Practice Location

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