Individual
DORIS BRAZELL FAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 CODY LN APT 23, STATESBORO, GA 30461-7955
(912) 481-6251
Mailing address
2002 CODY LN APT 23, STATESBORO, GA 30461-7955
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0000047248
GA
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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