Middlebrooks, Joyce L

Middlebrooks, Joyce L is an individual health care provider with primary practice located at 105 Park Place Way Suite 100, Carrollton GA 30117-1960. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Middlebrooks, Joyce L can be contacted via phone (770) 832-1494.

Contact Information

Primary practice address
105 Park Place Way Suite 100 Carrollton GA 30117-1960
Phone: (770) 832-1494
Fax: (770) 830-0990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN029107 Georgia

Profile Details

NPI number 1962490292
LBN Legal business name Middlebrooks, Joyce L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Sep 23rd, 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 1962490292 NPPES
Georgia MEDICAID 00550701K
Georgia Other 430071934
Georgia MEDICAID 00050701J
Georgia MEDICAID 000550701L
Georgia MEDICAID 000550701M
Georgia Other 214252
Georgia Other 5822654

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