Dunlap, Marlis J

Dunlap, Marlis J is an individual health care provider with primary practice located at Clark-Holder Clinic, P.A. 303 Smith Street, Lagrange GA 30240. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dunlap, Marlis J can be contacted via phone (706) 882-8831.

Contact Information

Primary practice address
Clark-Holder Clinic, P.A. 303 Smith Street Lagrange GA 30240
Phone: (706) 882-8831
Fax: (706) 812-4091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 121320 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 121320 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 121320 Georgia

Profile Details

NPI number 1780620344
LBN Legal business name Dunlap, Marlis J
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 27th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780620344 NPPES
Georgia MEDICAID 00919476B
Georgia MEDICAID 891003620

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