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Organization
CHILDRENS MEDICAL SERVICES
Active
Organization
CHILDRENS MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL A HENDRICKSON R.N., BSN (PUBLIC HEATH NURSE SPECIALIST)
(706) 721-5810
Entity
Organization
Contact information
Practice address
950 LANEY WALKER BLVD, AUGUSTA, GA 30901-2960
(706) 721-5810
Mailing address
161 STONE MILL DR, MARTINEZ, GA 30907-1659
(706) 863-8136
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0367436743
GA
Other
Enumeration date
10/28/2006
Last updated
06/12/2008
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