Individual
MRS. BERNADETTE SHARON HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
B STREET BLDG 29709, CONNELLY HEALTH CLINIC ATTN DDEAMC, FT GORDON, GA 30905-5650
(706) 787-5174
(706) 787-5145
Mailing address
B STREET BLDG 29709, CONNELLY HEALTH CLINIC ATTN DDEAMC, FT GORDON, GA 30905-5650
(706) 787-5174
(706) 787-5145
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN044950
GA
Other
Enumeration date
05/21/2008
Last updated
08/28/2008
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