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1538795232
JENNA RAE GARTSIDE
COLUMBUS, GA
NPI
1538795232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN209852)
Enumeration Date
2020-03-14
Last Update Date
2023-07-25
Business Address
JENNA RAE GARTSIDE CPNP-PC
710 CENTER ST
COLUMBUS, GA 31901-1527
Phone number: 706-571-1000
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Mailing Address
JENNA RAE GARTSIDE CPNP-PC
8451 SEMINOLE LOOP
FORT BENNING, GA 31905-1963
Phone number: 478-290-3380
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