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1740355999
CHARLOTTE LAVONIA INGRAM
MARIETTA, GA
NPI
1740355999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN049398)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
Ms. CHARLOTTE LAVONIA INGRAM APRN-BC
1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008-4010
Phone number: 770-514-2422
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Mailing Address
Ms. CHARLOTTE LAVONIA INGRAM APRN-BC
PO BOX 8413
COLUMBUS, GA 31908-8413
Phone number: 706-565-0971
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