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Individual

DENISE KIM DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
3624 J DEWEY GRAY CIR STE 110, AUGUSTA, GA 30909-6585
(706) 651-2667
(706) 651-2670
Mailing address
172 WOOD TRACE DR, WARRENVILLE, SC 28951
(803) 663-4858

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN185715
GA

Other

Enumeration date
05/24/2007
Last updated
07/08/2007
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