Individual
GLORIA LUCILLE HARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
209 N CAMELLIA BLVD, FORT VALLEY, GA 31030-3368
(478) 822-0054
Mailing address
209 N CAMELLIA BLVD, FORT VALLEY, GA 31030-3368
(478) 822-0054
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07190440
GA
Other
Enumeration date
07/15/2019
Last updated
01/28/2020
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