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Organization

THE PATHWAY AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TANAYSA GREEN REGISTERED NURSE (CEO)
(706) 373-2908
Entity
Organization

Contact information

Practice address
1378 LANEY WALKER BLVD STE 103, AUGUSTA, GA 30901-2763
(706) 373-2908
Mailing address
1378 LANEY WALKER BLVD STE 103, AUGUSTA, GA 30901-2763

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
RN211924
GA
376K00000X
Nurse's Aide
Primary
RN211924
GU

Other

Enumeration date
01/14/2016
Last updated
01/14/2016
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