Individual
MRS. ERICA DENISE HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7950 MARTIN LOOP, BLDG 9200, FORT BENNING, GA 31905-5647
(706) 544-2048
(706) 544-1388
Mailing address
1700 FOUNTAIN CT, APT# 405, COLUMBUS, GA 31904-1606
(706) 341-2811
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-051161
AL
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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