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Individual

BILLIE NIEHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1061 HARMON AVE STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-5092
Mailing address
1119 CREEKSIDE CIR, HINESVILLE, GA 31313-2575

Taxonomy

Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
9334497
FL

Other

Enumeration date
06/18/2017
Last updated
06/18/2017
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