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NPI Code Detail

MEDICARE: DANA D HOMEYER NP-C

MEDICARE: DANA D HOMEYER 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
1363LP2300XPrimary Care Nurse PractitionerRN057108 NPGA

General Provider Information

NPI Number : 1679862619
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA D HOMEYER NP-C
Provider Business Mailing Address
First Line : 6175 NEWTON DR NE
Second Line :
City : COVINGTON
State : GA
Zip : 30014-2690
Country : US
Telephone Number : 770-787-6900
Fax Number :
Provider Business Practice Location Address
First Line : 6175 NEWTON DR NE
Second Line :
City : COVINGTON
State : GA
Zip : 30014-2690
Country : US
Telephone Number : 770-787-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2011
Last Update Date : 03/30/2011

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Directions to “ DANA D HOMEYER NP-C” Practice Location

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