KASEY EAVENSON FISH

FORT VALLEY, GA
NPI1558932004
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN183098)
Enumeration Date2021-07-06
Last Update Date2021-10-27
Business Address
KASEY EAVENSON FISH NP-C
701 BLUEBIRD BLVD
FORT VALLEY, GA 31030-5085
Phone number: 478-825-7000
Mailing Address
KASEY EAVENSON FISH NP-C
701 BLUEBIRD BLVD
FORT VALLEY, GA 31030-5085
Phone number: 478-825-7000
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