REBECCA FONDREN HUMPHRIES

LAGRANGE, GA
NPI1467606293
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: GA  RN175845 NP)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: GA  RN175845 NP)
363LP2300X Nurse Practitioner, Primary Care
(Licence: GA  RN175845 NP)
Enumeration Date2008-11-06
Last Update Date2008-11-07
Business Address
-- REBECCA FONDREN HUMPHRIES APRN
303 SMITH STREET EMORY CLARK HOLDER CLINIC
LAGRANGE, GA 30240
Phone number: 706-882-8831
Mailing Address
-- REBECCA FONDREN HUMPHRIES APRN
303 SMITH STREET EMORY CLARK HOLDER CLINIC
LAGRANGE, GA 30240
Phone number: 706-882-8831
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