Individual
IZABELLA CUSHING TEMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11045 COLUMBIA ST, BLAKELY, GA 39823-3447
(229) 723-4313
(229) 723-3700
Mailing address
11740 COLUMBIA ST, BLAKELY, GA 39823-2574
(229) 724-4282
(229) 724-4283
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN303220
GA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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