Basic Information
Provider Information
NPI: 1558683060
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHWAIGER
FirstName: RENEE
MiddleName: TANKERSLEY
NamePrefix: MRS.
NameSuffix:  
Credential: R.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1000 JOHNSON FERRY RD N.E.
Address2: NORTHSIDE HOSPITAL
City: ATLANTA
State: GA
PostalCode: 303421704
CountryCode: US
TelephoneNumber: 4048518000
FaxNumber:  
Practice Location
Address1: 1000 JOHNSON FERRY RD N.E.
Address2: NORTHSIDE HOSPITAL
City: ATLANTA
State: GA
PostalCode: 303421704
CountryCode: US
TelephoneNumber: 4048518000
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/25/2010
LastUpdateDate: 02/25/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WI0500XRN053151GAY Nursing Service ProvidersRegistered NurseInfusion Therapy

No ID Information.


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