Individual
ANGELA PARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 PINE AVE, MIDWAY, GA 31320-3601
(912) 308-3660
Mailing address
56 PINE AVE, MIDWAY, GA 31320-3601
(912) 308-3660
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN054038
GA
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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