Individual
MRS. CHARIETTA C FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
83 GREEN ST, WARNER ROBINS, GA 31093-2635
(478) 988-1222
(478) 988-8098
Mailing address
940 GA HIGHWAY 96 STE A, WARNER ROBINS, GA 31088-2587
(478) 988-1222
(478) 988-8098
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN045435
GA
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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