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Individual

MRS. KAREN LEE SHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC

Contact information

Practice address
306 MOUNT PLEASANT RD, THOMSON, GA 30824-8124
(706) 595-0090
(706) 595-0074
Mailing address
977 HUNTING HORN WAY W, EVANS, GA 30809-4871
(706) 855-1524

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN143928
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN143928
APRN
GA
Enumeration date
09/28/2006
Last updated
07/08/2007
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