Organization
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Other names
Regina Kaye Puissant Hafford
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA KAYE PUISSANT HAFFORD (ENHANCED CASE MANAGER)
(478) 954-9385
Entity
Organization
Contact information
Practice address
401 PAYNE PL, DUBLIN, GA 31021-4336
(478) 954-9385
(478) 346-0017
Mailing address
401 PAYNE PL, DUBLIN, GA 31021-4336
(478) 954-9385
(478) 346-0017
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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