Provider Demographics
NPI:1053572172
Name:MEDLIN, HELEN CLAIR (NP-C)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:CLAIR
Last Name:MEDLIN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:255 PROSPERITY WAY NE
Mailing Address - Street 2:TAKE CARE HEALTH @ LOWES ROME
Mailing Address - City:ADAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30103
Mailing Address - Country:US
Mailing Address - Phone:706-728-9151
Mailing Address - Fax:706-728-9153
Practice Address - Street 1:255 PROSPERITY WAY NE
Practice Address - Street 2:
Practice Address - City:ADAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30121
Practice Address - Country:US
Practice Address - Phone:678-721-0705
Practice Address - Fax:678-721-5116
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN070135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily