Individual
LAURETTA NESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
330 HARDY RD, BROOKS, GA 30205-2314
(678) 588-1478
Mailing address
330 HARDY RD, BROOKS, GA 30205-2314
(678) 588-1478
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3406
GA
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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