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MS. CHARLOTTE LAVONIA INGRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC

Contact information

Practice address
1650 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008-4010
(770) 514-2422
(770) 514-9852
Mailing address
PO BOX 8413, COLUMBUS, GA 31908-8413
(706) 565-0971

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN049398
GA

Other

Enumeration date
11/22/2006
Last updated
07/08/2007
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