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NPI Code Detail

MEDICARE: SALLY ZIEGLER RN

MEDICARE: SALLY ZIEGLER RN
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 Nurse072921GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639504582
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALLY ZIEGLER RN
Provider Business Mailing Address
First Line : 940 GA HIGHWAY 96 STE C
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-2585
Country : US
Telephone Number : 478-988-7100
Fax Number :
Provider Business Practice Location Address
First Line : 940 GA HIGHWAY 96 STE C
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-2585
Country : US
Telephone Number : 478-988-7100
Fax Number : 478-988-6847
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2013
Last Update Date : 08/22/2024

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Directions to “ SALLY ZIEGLER RN” Practice Location

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