Individual
MR. LEVINCHI C. OGLESBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, AGPCNP-BC
Contact information
Practice address
3217 4TH ST, BRUNSWICK, GA 31520-3759
(912) 267-0058
(912) 267-0061
Mailing address
3217 4TH ST, BRUNSWICK, GA 31520-3759
(912) 267-0058
(912) 267-0061
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN215726
GA
Other
Enumeration date
11/07/2013
Last updated
12/19/2013
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