MEDICARE: MRS. SHELIA CLYDE RAMER ARNP

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	363LF0000X	Family Nurse Practitioner	RN085730	GA

General Provider Information

NPI Number	:	1740244235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHELIA CLYDE RAMER ARNP

Provider Business Mailing Address
First Line	:	4136 FACEVILLE HWY
Second Line	:
City	:	BAINBRIDGE
State	:	GA
Zip	:	39819-6205
Country	:	US
Telephone Number	:	229-243-0907
Fax Number	:

Provider Business Practice Location Address
First Line	:	7950 MARTIN LOOP
Second Line	:
City	:	FORT BENNING
State	:	GA
Zip	:	31905-5647
Country	:	US
Telephone Number	:	706-544-1442
Fax Number	:	706-544-1493

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	07/08/2007

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