Individual
MS. BIANCA RAE POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3212 SHRINE RD, BRUNSWICK, GA 31520-4353
(912) 289-7004
(912) 289-7004
Mailing address
3212 SHRINE RD, BRUNSWICK, GA 31520-4353
(912) 289-7004
(912) 289-7004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN203157
GA
363LF0000X
Family Nurse Practitioner
Primary
RN203157
GA
Other
Enumeration date
05/25/2013
Last updated
12/19/2022
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