Broxton, Ivey

Broxton, Ivey is an individual health care provider with primary practice located at 1150 Golden Way , Watkinsville GA 30677-7712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Broxton, Ivey can be contacted via phone (706) 612-9401.

Contact Information

Primary practice address
1150 Golden Way Watkinsville GA 30677-7712
Phone: (706) 612-9401
Fax: (706) 612-9420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN165181 Georgia

Profile Details

NPI number 1073700886
LBN Legal business name Broxton, Ivey
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2007
Last updated Jun 21st, 2022 - about 3 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 1073700886 NPPES
Georgia MEDICAID 524293389R

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