Individual
MRS. KRISTY LEIGH GOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3435 SECOND ST S, FOLKSTON, GA 31537-8447
(912) 467-0041
(912) 496-0053
Mailing address
288 PLANTATION PT, WOODBINE, GA 31569-2115
(912) 467-3412
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN231693
GA
Other
Enumeration date
08/04/2014
Last updated
03/25/2024
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