Individual
MRS. PHILISA RENEE LEGRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6633
Mailing address
3 WYNN PL, FORT STEWART, GA 31315-1830
(912) 435-6760
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN256293
GA
164W00000X
Licensed Practical Nurse
056769
GA
Other
Enumeration date
01/19/2007
Last updated
06/27/2016
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