Individual
PATRICK CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1061 HARMON AVE, WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5641
(912) 435-6721
Mailing address
1061 HARMON AVE, WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5641
(912) 435-6721
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
179934
TX
164W00000X
Licensed Practical Nurse
Primary
LPN071497
GA
Other
Enumeration date
08/18/2014
Last updated
08/20/2014
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