SIDNEY DONETTE MEDINA

LAGRANGE, GA
NPI1437861168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner Gerontology
(Licence: GA  GAA-NP001222)
Enumeration Date2022-12-13
Last Update Date2023-02-21
Business Address
SIDNEY DONETTE MEDINA
1075 LAFAYETTE PKWY
LAGRANGE, GA 30241-3504
Phone number: 706-443-5273
Mailing Address
SIDNEY DONETTE MEDINA
123 BUTTS ST
FORT BENNING, GA 31905-2303
Phone number:
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