JACK YANCEY LAGRONE

ATHENS, GA
NPI1568296812
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: GA  RN289726)
Enumeration Date2024-08-29
Last Update Date2024-08-29
Business Address
JACK YANCEY LAGRONE
250 BRAY ST
ATHENS, GA 30601-2203
Phone number: 706-389-6789
Mailing Address
JACK YANCEY LAGRONE
744 BARBER ST
ATHENS, GA 30601-2028
Phone number: 864-377-5067
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