Individual
CIARA HAUGABROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
303 HARRIS INDUSTRIAL BLVD STE 5, VIDALIA, GA 30474-8854
(912) 535-7000
Mailing address
303 HARRIS INDUSTRIAL BLVD STE 5, VIDALIA, GA 30474-8854
(912) 535-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN281201
GA
363LF0000X
Family Nurse Practitioner
F01201189
GA
363LF0000X
Family Nurse Practitioner
RN281201
GA
Other
Enumeration date
01/21/2020
Last updated
05/15/2021
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