Individual
MISS FLORA MAE IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8167 EISENHOWER PKWY, LIZELLA, GA 31052-3219
(478) 935-9131
(478) 475-1351
Mailing address
8167 EISENHOWER PARKWAY, LIZELLA, GA 31052-3219
(478) 935-9131
(478) 475-1351
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN081301
GA
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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