LACEY FOSTER FAIRCLOTH

MACON, GA
NPI1619565827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: GA  RN222538)
Enumeration Date2021-01-04
Last Update Date2021-01-04
Business Address
LACEY FOSTER FAIRCLOTH
2885 NOWELL DR
MACON, GA 31216-6347
Phone number: 478-633-1299
Mailing Address
LACEY FOSTER FAIRCLOTH
2885 NOWELL DR
MACON, GA 31216-6347
Phone number:
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