Provider Demographics
NPI:1538494497
Name:TRUE CARE HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:TRUE CARE HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAXINE
Authorized Official - Middle Name:ALBERTA
Authorized Official - Last Name:MCGOWAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, FNP-C
Authorized Official - Phone:678-343-1257
Mailing Address - Street 1:3866 AUGUSTINE PL
Mailing Address - Street 2:
Mailing Address - City:REX
Mailing Address - State:GA
Mailing Address - Zip Code:30273-5822
Mailing Address - Country:US
Mailing Address - Phone:678-343-1257
Mailing Address - Fax:
Practice Address - Street 1:3866 AUGUSTINE PL
Practice Address - Street 2:
Practice Address - City:REX
Practice Address - State:GA
Practice Address - Zip Code:30273-5822
Practice Address - Country:US
Practice Address - Phone:678-343-1257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-11
Last Update Date:2009-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN201165363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty