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Individual

CAROLYN EAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, MSN-FNP BC

Contact information

Practice address
247 NORTHSIDE DR STE B, VALDOSTA, GA 31602-1892
(229) 253-1206
Mailing address
PO BOX 749, OCILLA, GA 31774-0749
(229) 468-9166
(229) 468-9188

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11005571
FL
363LF0000X
Family Nurse Practitioner
Primary
RN199867
GA

Other

Enumeration date
12/21/2019
Last updated
04/21/2025
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