Individual
MEREDITH EMILY DECESARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2263 PINEVIEW DR, VALDOSTA, GA 31602-7316
(229) 433-7000
Mailing address
1210 LAKE DR, VALDOSTA, GA 31602-1216
(229) 251-3867
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN242990
GA
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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