Niblack, Temica Bohannon

Niblack, Temica Bohannon is an individual health care provider with primary practice located at 100 Halcyon Ct , Fayetteville GA 30214-5375. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Niblack, Temica Bohannon can be contacted via phone (770) 241-6044.

Contact Information

Primary practice address
100 Halcyon Ct Fayetteville GA 30214-5375
Phone: (770) 241-6044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN157878 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN157878 Georgia

Profile Details

NPI number 1598126179
LBN Legal business name Niblack, Temica Bohannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2016
Last updated Mar 10th, 2016 - about 10 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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