Organization
A & J INDEPENDENT CONTRACTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AILLIENE HARDEN RN BSN (REGISTERED NURSE)
(229) 591-1032
Entity
Organization
Contact information
Practice address
306 RIDGEWAY DR, AMERICUS, GA 31709-4615
(229) 591-1032
Mailing address
306 RIDGEWAY DR, AMERICUS, GA 31709-4615
(229) 591-1032
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
RN181305
GA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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