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Organization
LIVING WELL HOUSE CALLS LLC
Active
Organization
LIVING WELL HOUSE CALLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNE ELLEN BRACEWELL ARNP-C (OWNER)
(912) 580-0440
Entity
Organization
Contact information
Practice address
607 4TH ST W, DARIEN, GA 31305-9362
(912) 580-0440
Mailing address
607 4TH ST W, DARIEN, GA 31305-9362
(912) 580-0440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
217510
GA
Other
Enumeration date
09/29/2012
Last updated
09/29/2012
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