Individual
SAMANTHA JOY DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
360 HOSPITAL DR STE 110, MACON, GA 31217-8052
(478) 841-2707
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN293360
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN293360
GA
Other
Enumeration date
02/20/2023
Last updated
09/21/2023
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