Individual
CASEY NICOLE BORBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, ACNPC-AG
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2273
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN209701
GA
Other
Enumeration date
01/20/2022
Last updated
01/25/2022
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