Owens, Tammy Wilbanks
Owens, Tammy Wilbanks is an individual health care provider with primary practice located at 5136 Shirley Rd , Gainesville GA 30506-5115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Owens, Tammy Wilbanks can be contacted via phone (706) 499-3086.Contact Information
Primary practice address
5136 Shirley Rd
Gainesville GA 30506-5115
Phone: (706) 499-3086
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN146039NP | Georgia |
Profile Details
| NPI number | 1942279658 |
|---|---|
| LBN Legal business name | Owens, Tammy Wilbanks |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Feb 15th, 2016 - about 8 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 | 1942279658 | NPPES |
| Georgia | Other | 01186539 | AMERIGROUP |
| Georgia | MEDICAID | 418247497E | AMERIGROUP |
| Georgia | MEDICAID | 418247497D | AMERIGROUP |
| Georgia | Other | 459304 | AMERIGROUP |
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