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NPI Code Detail

MEDICARE: FRANCES MARIE LANDRUM FNP-C

MEDICARE: FRANCES MARIE LANDRUM 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 PractitionerRN164310GA

General Provider Information

NPI Number : 1922238260
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCES MARIE LANDRUM FNP-C
Provider Business Mailing Address
First Line : 409 W SOLOMON ST
Second Line :
City : GRIFFIN
State : GA
Zip : 30223-2831
Country : US
Telephone Number : 678-688-8700
Fax Number : 678-688-8718
Provider Business Practice Location Address
First Line : 105 CARNEGIE PL STE 103
Second Line :
City : FAYETTEVILLE
State : GA
Zip : 30214-5900
Country : US
Telephone Number : 770-716-7999
Fax Number : 770-716-8444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2009
Last Update Date : 05/09/2024

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Directions to “ FRANCES MARIE LANDRUM FNP-C” Practice Location

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