Individual
MRS. JENNY CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(210) 793-2723
Mailing address
1081 FORDS POINTE CIR, SAVANNAH, GA 31419-8112
(210) 793-2723
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
171906
TX
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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