Individual
MR. LARRY LENARD PEARSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 SOLOMON DR, ELLENWOOD, GA 30294-4508
(770) 506-9256
(678) 759-0164
Mailing address
207 SOLOMON DR, ELLENWOOD, GA 30294-4508
(770) 506-9256
(678) 759-0164
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN151384
GA
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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