Most Relevant Information
Provider Data
| NPI Number: | 1003297078 |
| Provider Name: | GENEVA MARIE RECORD NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | RN234548 |
Most Important Dates
| Enumeration Date: | 06/15/2015 |
| Last Updated: | 07/20/2015 |
Provider Practice Location
4700 BATTLEFIELD PARKWAY
SUITE 200
RINGGOLD
GA
30736
Practice Location Phone/Fax
| Phone: | 7068614990 |
| Fax: | 7068619405 |
Provider Mailing Location
4700 BATTLEFIELD PARKWAY
SUITE 200
RINGGOLD
GA
30736
Provider Mailing Phone/Fax
| Phone: | 7068614990 |
| Fax: | 7068619405 |