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Individual

GRETA D O'STEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1101 CHURCH ST, WAYCROSS, GA 31501-3525
(912) 338-5916
(912) 287-6521
Mailing address
1101 CHURCH ST, WAYCROSS, GA 31501-3525
(912) 338-5916
(912) 287-6521

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN093078
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000852332D
GA
Enumeration date
08/02/2006
Last updated
07/09/2007
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