TAMEKO LUSHANA IVEY

POOLER, GA
NPI1265143325
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN291558)
Enumeration Date2022-12-09
Last Update Date2022-12-09
Business Address
TAMEKO LUSHANA IVEY NP
203 SONOMA DRIVE NONE
POOLER, GA 31322
Phone number: 701-630-5753
Mailing Address
TAMEKO LUSHANA IVEY NP
203 SONOMA DRIVE NONE
POOLER, GA 31322
Phone number: 701-630-5753