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Individual

MR. JAMES MAC SOLEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
(478) 274-5511
Mailing address
732 OLD WATERMELON RD, TENNILLE, GA 31089-5544
(478) 231-5055

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN186048
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN186048
STATE LICENSE NUMBER
GA
Enumeration date
12/27/2017
Last updated
12/27/2017
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