Individual
MRS. DIANE HODGES NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
4 W ALTMAN ST, STATESBORO, GA 30458-5277
(912) 764-6129
(912) 489-4480
Mailing address
4 W ALTMAN ST, STATESBORO, GA 30458-5277
(912) 764-6129
(912) 489-4480
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN049787
GA
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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