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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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