MEDICARE: MH HEALTH CARE SERVICES, PC

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1710646955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MH HEALTH CARE SERVICES, PC

Provider Business Mailing Address
First Line	:	20 WINOOSKI FALLS WAY
Second Line	:
City	:	WINOOSKI
State	:	VT
Zip	:	05404-2228
Country	:	US
Telephone Number	:	802-857-0400
Fax Number	:

Provider Business Practice Location Address
First Line	:	712 W PEACHTREE ST NW FL 16
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-1139
Country	:	US
Telephone Number	:	470-443-2356
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TERRY LAYMAN
Credential	:	MD
Telephone Number	:	370-522-0844

Provider Enumeration Date	:	12/15/2021
Last Update Date	:	12/15/2021

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