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Individual

MRS. MARTHA ELLEN HARGROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
114 DOGWOOD DR, WAYNESBORO, GA 30830-5446
(706) 554-3456
(706) 554-2944
Mailing address
273 BARRETT PLANTATION LN, PO BOX 1658, WAYNESBORO, GA 30830-2713
(706) 437-9678
(706) 437-9678

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN089372
GA

Other

Enumeration date
10/23/2006
Last updated
07/08/2007
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