Individual
TONYA WAINWRIGHT CARODINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201
(478) 633-8700
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-8700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN238884
GA
Other
Enumeration date
08/20/2018
Last updated
09/05/2018
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