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1851869150
STACY HEATHER EXUM EDGAR
WAYCROSS, GA
NPI
1851869150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN212284)
Enumeration Date
2018-11-05
Last Update Date
2018-11-05
Business Address
Ms. STACY HEATHER EXUM EDGAR ARNP
1900 TEBEAU ST
WAYCROSS, GA 31501-6357
Phone number: 912-283-3030
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Mailing Address
Ms. STACY HEATHER EXUM EDGAR ARNP
2124 WARE ST
BLACKSHEAR, GA 31516-4667
Phone number: 912-550-9404
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