MEDICARE: PATSY BELL EDWARDS FNP

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	RN06891	GA

General Provider Information

NPI Number	:	1770973232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATSY BELL EDWARDS FNP

Provider Business Mailing Address
First Line	:	4519 FLOWERING BR
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-9510
Country	:	US
Telephone Number	:	770-301-0846
Fax Number	:

Provider Business Practice Location Address
First Line	:	4039 ATLANTA ST STE 100
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-2632
Country	:	US
Telephone Number	:	770-301-0846
Fax Number	:

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

Provider Enumeration Date	:	02/04/2015
Last Update Date	:	06/03/2024

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