Individual
MRS. REGINA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 STARLING ST, SUITE 304, BRUNSWICK, GA 31520-4265
(912) 466-5198
(912) 466-5197
Mailing address
2500 STARLING STREET, SUITE 304, BRUNSWICK, GA 31520-4294
(912) 466-5198
(912) 466-5197
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN061300
GA
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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