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Individual

MRS. BRENDA FAYE HURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE

Contact information

Practice address
1395 EISENHOWER DR, SAVANNAH, GA 31406-3901
(912) 356-2441
(912) 721-0385
Mailing address
1395 EISENHOWER DR, SAVANNAH, GA 31406-3901
(912) 356-2441
(912) 721-0385

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN052129
GA

Other

Enumeration date
05/07/2018
Last updated
05/07/2018
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