Individual
PATRICK MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3120 N OAK STREET EXT STE B, VALDOSTA, GA 31602-5910
(229) 671-6170
(229) 671-6761
Mailing address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 671-6100
(229) 671-6774
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
071437
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE
071437
GA
Enumeration date
03/24/2011
Last updated
03/24/2011
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