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Individual

LESLI G MCQUIGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
3025 SHRINE RD, SUITE 190, BRUNSWICK, GA 31520-4784
(912) 466-7250
(912) 466-7253
Mailing address
3025 SHRINE RD, SUITE 190, BRUNSWICK, GA 31520-4784
(912) 466-7250
(912) 466-7253

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN130343
GA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN130343
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN130343
LICENSE NUMBER
GA
Enumeration date
02/14/2012
Last updated
06/30/2015
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