Individual
ELMIRA MAE HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
367 RICHARDSON RD SE, CALHOUN, GA 30701-3619
(762) 204-2608
Mailing address
640 HUNTS GIN RD NE, CALHOUN, GA 30701-4925
(678) 986-7361
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN294468
GA
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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