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Individual

ANGIE HYDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1401 APPLEWOOD DR, DALTON, GA 30720-2699
(706) 270-5033
Mailing address
323 ROLAND RD, JASPER, GA 30143-5336
(706) 253-1112
(706) 253-1120

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN066910
GA

Other

Enumeration date
12/18/2015
Last updated
12/18/2015
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