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Individual

JESSI LUCAS HALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
6801 RIVER RD STE 301, COLUMBUS, GA 31904-3353
(706) 494-0694
(706) 494-0695
Mailing address
6801 RIVER RD STE 301, COLUMBUS, GA 31904-3353
(706) 494-0694
(706) 494-0695

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN197929
GA

Other

Enumeration date
09/20/2012
Last updated
12/03/2015
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