Organization
PATHWAYS
Active
Organization
PATHWAYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY RENEE PIERCE RN,BSN (NURSE)
(706) 845-4065
Entity
Organization
Contact information
Practice address
111 W HOPSON RD, HOGANSVILLE, GA 30230-3214
(706) 302-9944
Mailing address
111 W HOPSON RD, HOGANSVILLE, GA 30230-3214
(706) 302-9944
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
GA
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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