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Individual

MRS. KATHERINE GANAS HARVELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1921 ALICE ST STE 3A, WAYCROSS, GA 31501-6202
(912) 283-5616
Mailing address
5482 MEADOW WOOD RD, BLACKSHEAR, GA 31516-4453
(229) 300-7169

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN170256
GA

Other

Enumeration date
10/14/2009
Last updated
11/05/2023
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