Individual
MS. DEADRE NOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
940 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2584
(478) 988-1222
Mailing address
725 HIGHWAY 96 APT 301, BONAIRE, GA 31005-3367
(478) 235-8345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
300089
GA
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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