Provider Demographics
NPI:1922238518
Name:PAULK, RHONDA S (FNP)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:S
Last Name:PAULK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:
Other - Last Name:SWAYNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:306 SPEARHEAD RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-9080
Mailing Address - Country:US
Mailing Address - Phone:478-278-0622
Mailing Address - Fax:
Practice Address - Street 1:200 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-2981
Practice Address - Country:US
Practice Address - Phone:478-274-3664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN167096363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily