Individual
MRS. JOANNE NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
164 N EASY ST, STAPLETON, GA 30823-6682
(706) 787-9123
Mailing address
PO BOX 54, STAPLETON, GA 30823-0054
(706) 787-9123
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
037702
GA
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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