Allcott, Mary Alice
Allcott, Mary Alice is an individual health care provider with primary practice located at 510 East Oglethorpe Highway , Hinesville GA 31313-2825. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Allcott, Mary Alice can be contacted via phone (912) 369-7546.Contact Information
Primary practice address
510 East Oglethorpe Highway
Hinesville GA 31313-2825
Phone: (912) 369-7546
Fax: (912) 876-3396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN052669 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN052669 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | RN052669 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN052669 | Georgia |
Profile Details
| NPI number | 1467518811 |
|---|---|
| LBN Legal business name | Allcott, Mary Alice |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Apr 22nd, 2015 - about 9 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 | 1467518811 | NPPES |
| Georgia | MEDICAID | 130497891B | |
| Georgia | Other | RN052669 | |
| Georgia | Other | 348466 | |
| Georgia | Other | P00228955 | |
| Georgia | Other | 10064224 |
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