Individual
MRS. LORRAINE DAVIS FLEETWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 MANDARIN DR, HINESVILLE, GA 31313-6303
(912) 368-3798
Mailing address
911 MANDARIN DR, HINESVILLE, GA 31313-6303
(912) 368-3798
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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