Individual
DARLENE DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5617 PRINCETON AVE, COLUMBUS, GA 31904-3480
(706) 257-7722
Mailing address
334 WICKHAM DR, COLUMBUS, GA 31907-5550
(706) 662-0374
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
032389
GA
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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