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Individual

FLORENCE O BAGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
73 COASTAL MANOR DR, LUDOWICI, GA 31316
(912) 369-9313
(912) 545-0043
Mailing address
73 COASTAL MANOR DR, LUDOWICI, GA 31316
(912) 369-9313
(912) 545-0043

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN089010
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000779017H
GA
05
000779017I
GA
Enumeration date
01/04/2007
Last updated
05/23/2019
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