ANNA KENNEDY LAVENDER

TIFTON, GA
NPI1659840916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN223764)
Enumeration Date2018-11-16
Last Update Date2018-11-16
Business Address
Mrs. ANNA KENNEDY LAVENDER FNP-BC
1430 US HIGHWAY 82 W STE 105
TIFTON, GA 31793-8010
Phone number: 229-388-0266
Mailing Address
Mrs. ANNA KENNEDY LAVENDER FNP-BC
96 NEWTON RD
ASHBURN, GA 31714-3673
Phone number: 229-947-8154
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