Individual
CASIDY ENFINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
725 US HIGHWAY 19 S, CAMILLA, GA 31730-6396
(229) 336-5208
Mailing address
360 COLLEGE ST, BLAKELY, GA 39823-2554
(229) 723-2660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN144558
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN144558
LICENSE NUMBER
GA
Enumeration date
09/03/2008
Last updated
08/01/2023
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