Individual
MRS. GERALDINE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-9251
Mailing address
4711 BROOKGREEN RD, MARTINEZ, GA 30907-9358
(706) 210-1935
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN065646
GA
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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