Individual
DEIRDRE K O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
501 W ONEIDA ST, WAYCROSS, GA 31501-5337
(912) 287-1130
(912) 287-1231
Mailing address
1406 HABERSHAM DR, WAYCROSS, GA 31501-5306
(912) 287-1130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN135235
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN135235
STATE OF GEORGIA LICENSE
GA
Enumeration date
08/29/2007
Last updated
01/10/2017
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