Individual
KERI TUTEN HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 BOULEVARD SQ STE D, WAYCROSS, GA 31501-8022
(912) 387-0445
Mailing address
512 GRACE DR, WAYCROSS, GA 31503-8593
(912) 670-0480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN248323
GA
Other
Enumeration date
04/15/2021
Last updated
11/02/2023
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