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Individual

MRS. ALICE ANITA NIVENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1302 DRAYTON ST, SAVANNAH, GA 31401-6913
(912) 443-9409
Mailing address
1063 OLD OLIVE BRANCH RD, BLACK CREEK, GA 31308-4805
(912) 898-4435
(913) 443-9410

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN077978
GA

Other

Enumeration date
09/19/2012
Last updated
09/19/2012
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