Organization
HOPE COTTAGE FAMILY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE L GORDON FNP-C (OWNER)
(229) 726-9900
Entity
Organization
Contact information
Practice address
201 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 726-9900
Mailing address
3025 BRECKINRIDGE BLVD STE 120, DULUTH, GA 30096-4979
(678) 226-0082
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1053165
GA
Other
Enumeration date
12/16/2008
Last updated
12/22/2008
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