Individual
MRS. JEANIE BETH EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
301 ANDREWS AVE., FORT RUCKER, AL 36362
(334) 255-7920
(334) 255-7060
Mailing address
301 ANDREWS AVE., FORT RUCKER, AL 36362
(334) 255-7920
(334) 255-7060
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN052005
GA
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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