Individual
MS. PATRICIA LAVERNE NEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 MOSSEY OAK DRIVE, ALBANY, GA 31701-6101
(229) 435-2016
(229) 435-2016
Mailing address
133 MOSSEY OAK DR, ALBANY, GA 31701-6101
(229) 435-2016
(229) 435-2016
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
055646503
GA
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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