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Individual

GENEVA BRENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2109 FAIRBURN ROAD, DOUGLASVILLE, GA 30135
(770) 726-7958
Mailing address
2501 CAROLYN DRIVE, SMYRNA, GA 30080
(770) 726-7958

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN092923
GA

Other

Enumeration date
01/25/2017
Last updated
01/25/2017
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