Individual
MRS. MARY A. LIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
118 N. MCDONALD ST., LUDOWICI, GA 31316
(912) 545-9893
Mailing address
118 NORTH MCDONALD ST., LUDOWICI, GA 31316
(912) 545-9893
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN165023
GA
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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