Individual
ERIC WAYNE CARELOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
15 YARBROUGH ST, HAZLEHURST, GA 31539-6341
(912) 375-0755
(912) 375-0756
Mailing address
P O BOX, HAZLEHURST, GA 31539
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN222316
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN222316
STATE LICENSE
GA
Enumeration date
09/04/2017
Last updated
10/20/2025
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