Individual
ALICIA HAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
910 N 5TH ST, CORDELE, GA 31015-3254
(229) 276-3511
Mailing address
PO BOX 5007, CORDELE, GA 31010-5007
(229) 271-4659
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN227501
GA
Other
Enumeration date
09/01/2017
Last updated
01/26/2021
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