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Organization
SOUTHLAND BRANCH FAMILY PRACTICE, LLC
Active
Organization
SOUTHLAND BRANCH FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE C LAING (NURSE PRACTIONER)
(229) 928-4144
Entity
Organization
Contact information
Practice address
151 MAYO ST, AMERICUS, GA 31709-3735
(229) 928-4144
(229) 928-3410
Mailing address
PO BOX 546, AMERICUS, GA 31709-0546
(229) 928-4144
(229) 928-3410
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN127193
GA
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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