Individual
BIANCA KIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
902 N 7TH ST, CORDELE, GA 31015-3234
(229) 276-3100
Mailing address
307 E 3RD AVE, CORDELE, GA 31015-3208
(229) 271-4656
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN202267
GA
Other
Enumeration date
09/03/2014
Last updated
01/26/2021
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