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NPI Code Detail

MEDICARE: CHARLETTE NICHOLE SEALS FNP-C

MEDICARE: CHARLETTE NICHOLE SEALS FNP-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
1363LF0000XFamily Nurse PractitionerRN301718GA

General Provider Information

NPI Number : 1871352682
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLETTE NICHOLE SEALS FNP-C
Provider Business Mailing Address
First Line : 6744 PSALMOND CT
Second Line :
City : MIDLAND
State : GA
Zip : 31820-3828
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2200 HAMILTON RD STE B
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-8856
Country : US
Telephone Number : 706-655-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2024
Last Update Date : 03/14/2024

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Directions to “ CHARLETTE NICHOLE SEALS FNP-C” Practice Location

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