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Individual

MRS. DONIE HARRIS-DEATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
300 W HOSPITAL RD, FORT EISENHOWER, GA 30905-5741
(706) 787-5161
Mailing address
300 W HOSPITAL RD, FORT EISENHOWER, GA 30905-5741
(706) 787-5161

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2013036183
MO
363LF0000X
Family Nurse Practitioner
Primary
209011052
IL

Other

Enumeration date
12/04/2013
Last updated
11/03/2023
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