Individual
LINDA DENICE FARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
105 HEATH PL RD, MACON, GA 31220-8902
(478) 765-2010
Mailing address
105 HEATH PL RD, MACON, GA 31220-8902
(478) 765-2010
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
304402
GA
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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