MEMORI K MCCARLEY


Address: 1112 W 12th St, Alma, GA 31510-1814
Phone: 9126328244

MEMORI K MCCARLEY (NPI# 1902271604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902271604
Entity Type Individual
Full Name MEMORI K MCCARLEY
Credential CPNP-PC
Practice Address 1112 W 12th St
Alma
GA 31510-1814
Practice Telephone 9126328244
Practice Fax Number 9126327041
Mailing Telephone 9126328244
Mailing Fax Number 9126327041
Enumeration Date 2015-12-07
Last Update Date 2018-02-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
RN202155 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1112 W 12TH ST
City ALMA
State GA
Zip Code 31510-1814

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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NPI Name Taxonomy Address Enumeration
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Competitor

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City ALMA
Zip Code 31510

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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