Individual
LOLA A MEDLIN-GOETTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH CARE
Contact information
Practice address
411 WILKERSON ST, WAYCROSS, GA 31501-2851
(912) 816-8427
Mailing address
411 WILKERSON ST, WAYCROSS, GA 31501-2851
(912) 816-8427
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4064.1
GA
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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