GARRETT SHANE SURRENCY

TIFTON, GA
NPI1104348432
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: GA  162472)
Enumeration Date2017-07-07
Last Update Date2017-07-07
Business Address
GARRETT SHANE SURRENCY Advanced Care NP
2225 US HIGHWAY 41 N
TIFTON, GA 31794-2749
Phone number: 229-391-4270
Mailing Address
GARRETT SHANE SURRENCY Advanced Care NP
PO BOX 654
SPARKS, GA 31647-0654
Phone number: 229-848-9383
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