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1912419151
EMMIE NORVILLE PARK
AUGUSTA, GA
NPI
1912419151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: GA RN227108)
Enumeration Date
2017-10-27
Last Update Date
2017-11-29
Business Address
EMMIE NORVILLE PARK NNP
1120 15TH ST # 6033
AUGUSTA, GA 30912-0004
Phone number: 706-721-2331
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Mailing Address
EMMIE NORVILLE PARK NNP
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2603
Phone number: 706-446-5941
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