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Individual

KESHANA SNEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
102 AIRPORT RD NE, SUITE A, MILLEDGEVILLE, GA 31061-9313
(478) 453-0077
(478) 864-1288
Mailing address
PO BOX 371, WRIGHTSVILLE, GA 31096-0371
(478) 864-3448
(478) 864-1288

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN155696
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN155696
LICENSE NUMBER
GA
Enumeration date
11/19/2009
Last updated
11/21/2015
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