LISA PATTERSON FAIRCLOTH

CORDELE, GA
NPI1508968256
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  154242)
Enumeration Date2006-09-02
Last Update Date2007-07-08
Business Address
-- LISA PATTERSON FAIRCLOTH FNP-C
906 N 5TH ST STE D
CORDELE, GA 31015-3224
Phone number: 229-271-4630
Mailing Address
-- LISA PATTERSON FAIRCLOTH FNP-C
906 N 5TH ST STE D
CORDELE, GA 31015-3224
Phone number: 229-271-4630
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