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Nataly Agabin, NP-C
Family Nurse Practitioner in Grovetown, Georgia
NPI 1083150072

Nataly Agabin is a Family Nurse Practitioner based in Evans, GA and is specialized in Family. Nataly Agabin practices in Grovetown, GA and has the professional credentials of NP-C. The NPI Number for Nataly Agabin is 1083150072 and holds a License No. RN196384 (Georgia).

The current practice location address for Nataly Agabin is 4039 Gateway Blvd, Grovetown, GA and can be reached out via phone at 706-922-1600.

Location: 4039 Gateway Blvd, Grovetown, GA, 30809-2510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083150072
Provider Name
Nataly Agabin
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
4039 Gateway Blvd, Grovetown, GA, 30809-2510
Phone Number
706-922-1600
Fax Number
Provider Enumeration Date
01/13/2017
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN196384 01 GA LICENSE
institution
Provider Business Practice Location Address Details
Address
4039 Gateway Blvd
City
Grovetown
State
Georgia
Zip
30813-3389
Phone Number
706-922-1600
Fax Number
person
Provider Business Mailing Address Details
Address
4039 Gateway Blvd
City
Grovetown
State
Georgia
Zip
30813-3389
Phone Number
706-922-1600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN196384 (Georgia)
Definition
Definition to come...
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