Individual
QUANA KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6601 ZEBULON RD, MACON, GA 31220-7606
(478) 476-0805
(478) 475-9492
Mailing address
6601 ZEBULON RD, MACON, GA 31220-7606
(478) 476-0805
(478) 475-9492
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN214890
GA
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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