PERSIDA L PETCA

TOCCOA, GA
NPI1720368681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  199089)
Enumeration Date2011-08-24
Last Update Date2011-08-24
Business Address
-- PERSIDA L PETCA NP-C
58 BIG A ROAD
TOCCOA, GA 30577-6000
Phone number: 706-886-3148
Mailing Address
-- PERSIDA L PETCA NP-C
58 BIG A ROAD
TOCCOA, GA 30577-6000
Phone number: 706-886-3148
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