Individual
DELLAANN FAIRCLOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1113 E OGLETHORPE HWY, HINESVILLE, GA 31313-1200
(912) 876-2173
(912) 876-2637
Mailing address
PO BOX 231, HINESVILLE, GA 31310-0231
(912) 876-2173
(912) 876-2637
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN291867
GA
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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