Basic Information
| Provider Information | |||||||||
| NPI: | 1184634420 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SONGER | ||||||||
| FirstName: | BETTY | ||||||||
| MiddleName: | JO | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 107 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | PLAINS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 317805570 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2298244444 | ||||||||
| FaxNumber: | 2298247190 | ||||||||
| Practice Location | |||||||||
| Address1: | 107 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | PLAINS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 31780 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2298244444 | ||||||||
| FaxNumber: | 2298247190 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2006 | ||||||||
| LastUpdateDate: | 08/29/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | RN063963 | GA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.