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NPI Code Detail

MEDICARE: AWC NETWORKS, LLC

MEDICARE: AWC NETWORKS, LLC
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
1163WC0400XCase Management Registered Nurse

General Provider Information

NPI Number : 1982195061
Entity Type Code : Organization
Provider Name (Legal Business Name) : AWC NETWORKS, LLC
Provider Business Mailing Address
First Line : PO BOX 56833
Second Line :
City : ATLANTA
State : GA
Zip : 30343-0833
Country : US
Telephone Number : 404-946-1820
Fax Number :
Provider Business Practice Location Address
First Line : 1175 PEACHTREE ST NE STE 100010TH
Second Line :
City : ATLANTA
State : GA
Zip : 30361-3528
Country : US
Telephone Number : 404-946-1820
Fax Number : 404-973-0231
Authorized Official
Title or Position : BILLING MANAGER
Name : MRS. APRYL ESPINOZA-WADE
Credential :
Telephone Number : 678-964-5234
Provider Enumeration Date : 05/23/2018
Last Update Date : 05/23/2018

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