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Individual

DAMARIS NYANCHAMA ONDIEKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
654 1ST ST, MACON, GA 31201-2851
(478) 738-9443
Mailing address
PO BOX 33711, DECATUR, GA 30033-0711
(478) 738-9443

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN247719
GA

Other

Enumeration date
06/28/2018
Last updated
06/28/2018
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