Slemmons, Marina
Slemmons, Marina is an individual health care provider with primary practice located at 1055 North Grove Street , Dahlonega GA 30533-3876. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Slemmons, Marina can be contacted via phone (706) 864-6700.Contact Information
Primary practice address
1055 North Grove Street
Dahlonega GA 30533-3876
Phone: (706) 864-6700
Fax: (706) 864-2599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN124048 | Georgia |
Profile Details
| NPI number | 1780881268 |
|---|---|
| LBN Legal business name | Slemmons, Marina |
| Credentials | PHD, RN, CPNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2007 |
| Last updated | Aug 1st, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780881268 | NPPES |
| Georgia | MEDICAID | 003135102A | |
| Georgia | MEDICAID | 003135102B |
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