Dunlap, Marlis J
Dunlap, Marlis J is an individual health care provider with primary practice located at Clark-Holder Clinic, P.A. 303 Smith Street, Lagrange GA 30240. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dunlap, Marlis J can be contacted via phone (706) 882-8831.Contact Information
Primary practice address
Clark-Holder Clinic, P.A. 303 Smith Street
Lagrange GA 30240
Phone: (706) 882-8831
Fax: (706) 812-4091
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 121320 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 121320 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 121320 | Georgia |
Profile Details
NPI number | 1780620344 |
---|---|
LBN Legal business name | Dunlap, Marlis J |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2006 |
Last updated | Jul 27th, 2020 - about 4 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 | 1780620344 | NPPES |
Georgia | MEDICAID | 00919476B | |
Georgia | MEDICAID | 891003620 |
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