Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Feb 12, 2018
License(s)
RN244930 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 100 S MADISON ST | Thomasville, GA 31792-5473 | 229-236-0831 |
| LOCATION | 90 E STEPHENS ST | Camilla, GA 31730-1836 | 229-336-4600 |
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