Provider Demographics
NPI:1528307824
Name:NEGRI, ANTHONY GERALD JR (RN)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:GERALD
Last Name:NEGRI
Suffix:JR
Gender:M
Credentials:RN
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Mailing Address - Street 1:3312 NORTHSIDE DR
Mailing Address - Street 2:BLDG D, SUITE 204
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-2500
Mailing Address - Country:US
Mailing Address - Phone:478-238-4522
Mailing Address - Fax:478-238-4524
Practice Address - Street 1:3312 NORTHSIDE DR
Practice Address - Street 2:BLDG D, SUITE 204
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-2500
Practice Address - Country:US
Practice Address - Phone:478-238-4522
Practice Address - Fax:478-238-4524
Is Sole Proprietor?:No
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
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Provider Licenses
StateLicense IDTaxonomies
GARN154467163WG0000X, 163WI0600X, 163WP0808X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health