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Individual

MRS. MERRIOM LASAN HASHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3335 THAMES PL, HEPHZIBAH, GA 30815-7167
(706) 560-1179
Mailing address
3335 THAMES PL, HEPHZIBAH, GA 30815-7167
(706) 560-1179

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001182357
VA
163W00000X
Registered Nurse
R 105501
SC
163W00000X
Registered Nurse
RN 174749
GA
163WC1500X
Community Health Registered Nurse
Primary
RN174749
GA

Other

Enumeration date
07/20/2007
Last updated
07/26/2010
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