MISTY GROVE

COLUMBUS, GA
NPI1689057879
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN170056)
Enumeration Date2015-07-07
Last Update Date2015-07-07
Business Address
-- MISTY GROVE
2122 MANCHESTER EXPY
COLUMBUS, GA 31904-6878
Phone number: 706-320-2773
Mailing Address
-- MISTY GROVE
PO BOX 8147
COLUMBUS, GA 31908-8147
Phone number: 706-320-2773
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