Individual
ARCHIE PERSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
7933 IVY PARK DR, FORTSON, GA 31808-6870
(706) 587-0716
(706) 587-0716
Mailing address
145 LOCKMEADE WAY, FAYETTEVILLE, GA 30215-8185
(706) 587-0716
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN221260
GA
Other
Enumeration date
10/16/2019
Last updated
07/14/2020
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