Individual
MARIETTA PANA OLAIVAR-LOMBOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1018 KEITH DRIVE, SUITE A, PERRY, GA 31069-2948
(478) 987-7444
(478) 987-7747
Mailing address
1018 KEITH DR, SUITE A, PERRY, GA 31069-2947
(478) 987-7444
(478) 987-7747
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
118138
GA
Other
Enumeration date
08/10/2006
Last updated
05/11/2015
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