Individual
HEATHER ANN SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2007 OLD LAFAYETTE RD, FORT OGLETHORPE, GA 30742-3510
(706) 861-9390
(706) 866-4740
Mailing address
2007 OLD LAFAYETTE RD, FORT OGLETHORPE, GA 30742-3510
(706) 861-9390
(706) 866-4740
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN052831
GA
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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