Individual
MRS. ELAINE MARIE NEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1 FREEDOM WAY, VA MEDICAL CENTER, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
4184 KNOLLCREST CIR N, MARTINEZ, GA 30907-1672
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN121837
GA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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