Individual
DONA MICHELLE TUTEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
106 MORAN DR, BONAIRE, GA 31005-5106
(478) 988-1282
(478) 988-3120
Mailing address
106 MORAN DR, BONAIRE, GA 31005-5106
(478) 988-1282
(478) 988-3120
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN140344
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
616033987A
—
GA
Enumeration date
07/03/2006
Last updated
07/14/2009
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