Individual
ODESSA MESSER POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1569 AMBER STAPP STUDDARD RD, SOCIAL CIRCLE, GA 30025-4401
(770) 601-2770
Mailing address
1569 AMBER STAPP STUDDARD RD, SOCIAL CIRCLE, GA 30025-4401
(770) 601-2770
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN053146
GA
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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