person
Eunice Theodor, FNP
Family Nurse Practitioner in Douglasville, Georgia
NPI 1720471147

Eunice Theodor is a Family Nurse Practitioner based in Douglasville, GA and is specialized in Family. Eunice Theodor practices in Douglasville, GA and has the professional credentials of FNP. The NPI Number for Eunice Theodor is 1720471147 and holds a License No. 0024172755 (Georgia).

The current practice location address for Eunice Theodor is 8820 Hospital Dr, Douglasville, GA and can be reached out via phone at 770-947-3000 and via fax at 770-947-3012.

Location: 8820 Hospital Dr, Douglasville, GA, 30134-2266
person
Provider Profile Details
NPI Number
1720471147
Provider Name
Eunice Theodor
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
8820 Hospital Dr, Douglasville, GA, 30134-2266
Phone Number
770-947-3000
Fax Number
770-947-3012
Provider Enumeration Date
03/10/2015
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720471147 05 VA
institution
Provider Business Practice Location Address Details
Address
8820 Hospital Dr
City
State
Zip
30134-2266
Phone Number
770-947-3000
Fax Number
770-947-3012
person
Provider Business Mailing Address Details
Address
8820 Hospital Dr
City
State
Zip
30134-2266
Phone Number
770-947-3000
Fax Number
770-947-3012
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN244960 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
0024172755 (Virginia)
Definition
Definition to come...
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