Individual
MRS. CATTLEYA MARIE BORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
MARTIN ARMY COMMUNITY HOSPITAL, FT BENNING, GA 31905-5637
(706) 544-2463
Mailing address
6743 BRIDGE WAY, COLUMBUS, GA 31904-1298
(706) 321-9007
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
4704208170
MI
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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