CAROL BANNISTER

MOULTRIE, GA
NPI1508235623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: GA  246454)
Enumeration Date2015-09-18
Last Update Date2015-09-18
Business Address
-- CAROL BANNISTER
165 HUGH BANNISTER DR
MOULTRIE, GA 31768-6901
Phone number: 229-985-6611
Mailing Address
-- CAROL BANNISTER
165 HUGH BANNISTER DR
MOULTRIE, GA 31768-6901
Phone number: 229-985-6611
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