Duckworth, Patricia G

Duckworth, Patricia G is an individual health care provider with primary practice located at 1650 County Services Pkwy Sw , Marietta GA 30008-4010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Duckworth, Patricia G can be contacted via phone (770) 514-2361.

Contact Information

Primary practice address
1650 County Services Pkwy Sw Marietta GA 30008-4010
Phone: (770) 514-2361
Fax: (770) 514-2811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN036347 Georgia

Profile Details

NPI number 1407825219
LBN Legal business name Duckworth, Patricia G
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1407825219 NPPES
Georgia MEDICAID 00692711A

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