Individual
JANICE TILLMAN GRAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
60 LONG CREEK LANE, RICHMOND HILL, GA 31324
(912) 756-2880
Mailing address
60 LONG CREEK LN, RICHMOND HILL, GA 31324-8601
(912) 756-2880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN163657
GA
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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