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Individual

ROBERT THORPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6202
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN162022
GA
163WM0705X
Medical-Surgical Registered Nurse
RN162022
GA
163WP0000X
Pain Management Registered Nurse
RN162022
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN162022
RN
GA
Enumeration date
09/04/2014
Last updated
09/04/2014
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