1861544637 NPI number — MS. MARGARET VICTORIA GUTHRIE RN, CNS

Table of content: MS. MARGARET VICTORIA GUTHRIE RN, CNS (NPI 1861544637)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861544637 NPI number — MS. MARGARET VICTORIA GUTHRIE RN, CNS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUTHRIE
Provider First Name:
MARGARET
Provider Middle Name:
VICTORIA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RN, CNS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GUTHRIE
Provider Other First Name:
VICKI
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1861544637
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/12/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1807 CRESCENT HILL DR NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ACWORTH
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30102-7917
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-956-6486
Provider Business Mailing Address Fax Number:
770-956-6463

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2000 S PARK PL SE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30339-2013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-956-6464
Provider Business Practice Location Address Fax Number:
770-956-6463
Provider Enumeration Date:
01/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WP0809X , with the licence number:  RN042283 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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