Individual
MS. SHARON YVETTE FLEWELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1876 MOORE STREET, MACON, GA 31204
(478) 390-4577
Mailing address
1876 MOORE STREET, MACON, GA 31204
(478) 390-4577
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN051527
GA
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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