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Individual

MRS. MARY ELIZABETH SYKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
209 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 758-4264
(229) 758-8473
Mailing address
209 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 758-4264
(229) 758-8473

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R81905
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000831047D
GA
Enumeration date
10/06/2006
Last updated
07/08/2007
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