Booher, Peggy Webb
Booher, Peggy Webb is an individual health care provider with primary practice located at 300 Dawson Commons Cir Ste. 320, Dawsonville GA 30534-6268. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Booher, Peggy Webb can be contacted via phone (706) 216-2770.Contact Information
Primary practice address
300 Dawson Commons Cir Ste. 320
Dawsonville GA 30534-6268
Phone: (706) 216-2770
Fax: (706) 216-2944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN076497 NP | Georgia |
Profile Details
| NPI number | 1932211315 |
|---|---|
| LBN Legal business name | Booher, Peggy Webb |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jun 22nd, 2011 - about 15 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 | 1932211315 | NPPES |
| Georgia | Other | 10037015 | AMERIGROUP |
| Georgia | MEDICAID | 877805218B | AMERIGROUP |
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