Individual
ANSLEY RAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(229) 931-2504
Mailing address
PO BOX 1348, AMERICUS, GA 31709-1348
(229) 931-2504
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN095052
GA
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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