Individual
LACEY RHINEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
367 RICHARDSON RD SE, CALHOUN, GA 30701-3619
(762) 204-2451
Mailing address
367 RICHARDSON RD SE, CALHOUN, GA 30701-3619
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN096116
GA
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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