Individual
MS. DEBRA YVONNE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
250 BRAY ST, ATHENS, GA 30601-2203
(706) 389-6789
Mailing address
1391 OLD HOODS MILL RD, COMMERCE, GA 30529-4533
(706) 510-9026
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN094956
GA
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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