Individual
DONICIA RAILEY MABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2370 HOUSTON LAKE RD, KATHLEEN, GA 31047-5400
(478) 654-2199
(478) 633-0577
Mailing address
2370 HOUSTON LAKE RD, KATHLEEN, GA 31047-5400
(478) 654-2199
(478) 633-0577
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP242109
GA
Other
Enumeration date
06/30/2021
Last updated
02/05/2026
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