Individual
LARRY DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 US HIGHWAY 82 W, SUITE 105, TIFTON, GA 31793-8011
(229) 388-0266
Mailing address
111 STRATFORD ST E, FITZGERALD, GA 31750-8736
(229) 425-4295
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN144349
GA
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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