Search › Georgia › 363LP0200X
Theresa Schornack, NURSE PRACTITIONER
NPI 1508991134 · on the registry since 2007
Practice
- Address
- 130 Medical Way
Stockbridge, GA 30281 - Phone
- (770) 389-4543
- Fax
- (770) 474-0566
- Organisation at this address
- Atlanta Kidney Specialists Llc
Alpha Medical Wellness And Walk In Clinic LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia