Individual
CLARICE ANN BRODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
605 W GORDON ST, THOMASTON, GA 30286-3425
(706) 646-6040
(706) 646-6039
Mailing address
55 HICKORY DR, THOMASTON, GA 30286-7102
(706) 647-6210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN067528
GA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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