Individual
LUCINDA HASTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2916 THORNWOOD DR, MACON, GA 31204-1218
(352) 397-5761
Mailing address
2916 THORNWOOD DR, MACON, GA 31204-1218
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
195303
GA
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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