Individual
NICOLE ARMISTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 389-6737
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 389-6737
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN060320
GA
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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