Duggar, Gina Darlene

Duggar, Gina Darlene is an individual health care provider with primary practice located at 157 Clinic Ave Suite 101, Carrollton GA 30117-4454. 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. Duggar, Gina Darlene can be contacted via phone (770) 333-2220.

Contact Information

Primary practice address
157 Clinic Ave Suite 101 Carrollton GA 30117-4454
Fax: (678) 581-7180
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN130310 Georgia

Profile Details

NPI number 1639174600
LBN Legal business name Duggar, Gina Darlene
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jan 8th, 2018 - about 7 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 1639174600 NPPES
Georgia Other 1639174600 NPI NUMBER

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