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Gerontology Nurse Practitioner
NPI: 1669993713Individual
Specialties, Licenses & Credentials
Nurse Practitioner — Gerontology
Code: 363LG0600X
RN209759(GA)APRN11004956(FL)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2017
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Contact & Hours
- Address
- 202 S MADISON ST
THOMASVILLE, GA 31792 - Phone
- (229) 226-1035
Quick Facts
- NPI
- 1669993713
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 9
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