Individual
JOANNE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
56 SHORT ST # A, DAHLONEGA, GA 30533-0543
(706) 867-2727
(706) 867-2739
Mailing address
332 OWENS RD, DAHLONEGA, GA 30533-3946
(706) 864-6629
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN029766
GA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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