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Individual

MRS. BECKIE ANNETTE NOWLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 985-3420
Mailing address
PO BOX 40, MOULTRIE, GA 31776-0040
(229) 985-3420

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN168109
GA

Other

Enumeration date
07/06/2012
Last updated
05/01/2013
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