Isaac, David N

Isaac, David N is an individual health care provider with primary practice located at 11 Upper Riverdale Rd , Riverdale GA 30274-0000. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Isaac, David N can be contacted via phone (770) 991-8000.

Contact Information

Primary practice address
11 Upper Riverdale Rd Riverdale GA 30274-0000
Phone: (770) 991-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN136301 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN 136301 NP Georgia

Profile Details

NPI number 1093765067
LBN Legal business name Isaac, David N
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Aug 6th, 2008 - about 18 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 1093765067 NPPES
Georgia MEDICAID 589185903I
Georgia Other 01190343
Georgia MEDICAID 589185903G
Georgia MEDICAID 589185903H

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