Individual
MARY E CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
98 LANTHIER ST, WINDER, GA 30680-2072
(770) 860-4150
(770) 860-4160
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 542-9700
(706) 227-7249
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
026376
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026376
LPN
GA
Enumeration date
04/25/2007
Last updated
07/08/2007
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