Individual
CLOVALYN DALVENIA JEFFREY-MCGANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2466
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0006
(706) 721-3371
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03190689
GA
Other
Enumeration date
04/03/2019
Last updated
04/26/2020
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