Bivins, Laurie Eileen

Bivins, Laurie Eileen is an individual health care provider with primary practice located at 1664 Mulkey Rd , Austell GA 30106-1114. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Bivins, Laurie Eileen can be contacted via phone (770) 941-7709.

Contact Information

Primary practice address
1664 Mulkey Rd Austell GA 30106-1114
Phone: (770) 941-7709
Fax: (770) 941-6441
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 094302 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 85069 Georgia

Profile Details

NPI number 1417932567
LBN Legal business name Bivins, Laurie Eileen
Credentials RN, MSN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Sep 15th, 2011 - about 14 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 1417932567 NPPES
Georgia MEDICAID 0000438688C

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