Individual
MISS DOWANNA RENAE HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1259 NORMANDY RD, MACON, GA 31210-3318
(478) 474-0014
Mailing address
1259 NORMANDY RD, MACON, GA 31210-3318
(478) 474-0014
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
011R0325
GA
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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