Individual
LEKESHA RANSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
604 SUGAR ST, TIFTON, GA 31794-6040
(229) 392-2984
Mailing address
604 SUGAR ST, TIFTON, GA 31794-6040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F08210793
GA
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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