Individual
NELLIE ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
Mailing address
950 15TH ST, AUGUSTA, GA 30901-2608
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN259472
GA
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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