person
Eliza Johnson Bacot, NP
Critical Care Medicine Nurse Practitioner in Newnan, Georgia
NPI 1891973483

Eliza Johnson Bacot is a Critical Care Medicine Nurse Practitioner based in Newnan, GA and is specialized in Critical Care Medicine. Eliza Johnson Bacot practices in Newnan, GA and has the professional credentials of NP. The NPI Number for Eliza Johnson Bacot is 1891973483 and holds a License No. RN168366 (Georgia).

The current practice location address for Eliza Johnson Bacot is 600 Celebrate Life Pkwy, Newnan, GA and can be reached out via phone at 678-907-2999. You can also correspond with Eliza Johnson Bacot through the mailing address at 600 CELEBRATE LIFE PKWY, NEWNAN, GA - 30265-8001 (mailing address contact number: 678-907-2999).

Location: 600 Celebrate Life Pkwy, Newnan, GA, 30265-8001
person
Provider Profile Details
NPI Number
1891973483
Provider Name
Eliza Johnson Bacot
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
600 Celebrate Life Pkwy, Newnan, GA, 30265-8001
Phone Number
678-907-2999
Fax Number
Provider Enumeration Date
02/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
220573126A 05 GA
institution
Provider Business Practice Location Address Details
Address
600 Celebrate Life Pkwy
City
State
Zip
30265-8001
Phone Number
678-907-2999
Fax Number
person
Provider Business Mailing Address Details
Address
600 Celebrate Life Pkwy
City
State
Zip
30265-8001
Phone Number
678-907-2999
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Critical Care Medicine
Taxonomy
License No.
RN168366 (Georgia)
Definition
Definition to come...
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