Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Apr 18, 2019
License(s)
rn244134 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 1705 | Augusta, GA 30903-1705 | 706-774-7855 |
| LOCATION | 1348 WALTON WAY STE 6700 | Augusta, GA 30901-5111 | 706-774-7855 |
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