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Individual

THELMA JEAN COX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
317 BURKLAND LN, ATHENS, GA 30601-6250
(706) 621-8612
Mailing address
317 BURKLAND LANE, ATHENS, GA 30601
(706) 621-8612

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0000112465
GA

Other

Enumeration date
05/11/2010
Last updated
05/11/2010
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