Individual
MRS. MYRTICE AQUILA DOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5496
(912) 435-5585
Mailing address
240 W MAGNOLIA ST, JESUP, GA 31545-0527
(912) 318-0800
(912) 435-5585
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN173481
GA
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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