DEIDRA DIANE HENLEY

AUGUSTA, GA
NPI1649745530
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN205120)
Enumeration Date2018-10-08
Last Update Date2018-10-08
Business Address
DEIDRA DIANE HENLEY FNP-C
2806 HILLCREEK DR
AUGUSTA, GA 30909-6484
Phone number: 706-863-0200
Mailing Address
DEIDRA DIANE HENLEY FNP-C
2946 AYLESBURY DR
AUGUSTA, GA 30909-0628
Phone number: 803-640-8094
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