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Individual

CHERYL LAVERTUE MCDANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP BC

Contact information

Practice address
1120 W BROAD AVE STE B, ALBANY, GA 31707-4397
(229) 430-4140
Mailing address
100 S MADISON ST, THOMASVILLE, GA 31792-5473
(229) 236-0831
(229) 236-0871

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN146978
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN146978
GA

Other

Enumeration date
07/13/2023
Last updated
07/13/2023
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