Individual
KATHY FLAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
223 N ANDERSON DRIVE, SWAINSBORO, GA 30401
(478) 289-2522
Mailing address
822 COX PLACE ROAD, WAYNESBORO, GA 30830
(706) 554-6896
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
091585
GA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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