Individual
HALI VARNEDORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2010 OCILLA RD, DOUGLAS, GA 31533-2230
(912) 384-1477
Mailing address
11 CROSS ST, HAZLEHURST, GA 31539-6427
(912) 384-2500
(912) 383-6788
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN209311
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN209311
MEDICAL LICENSE
GA
Enumeration date
09/29/2015
Last updated
07/21/2022
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