Individual
DAISY JANE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
413 BOWEN FLS, GROVETOWN, GA 30813-5917
(706) 231-5191
Mailing address
413 BOWEN FLS, GROVETOWN, GA 30813-5917
(706) 231-5191
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN191337
GA
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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