EMMIE NORVILLE PARK

AUGUSTA, GA
NPI1912419151
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: GA  RN227108)
Enumeration Date2017-10-27
Last Update Date2017-11-29
Business Address
EMMIE NORVILLE PARK NNP
1120 15TH ST # 6033
AUGUSTA, GA 30912-0004
Phone number: 706-721-2331
Mailing Address
EMMIE NORVILLE PARK NNP
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2603
Phone number: 706-446-5941
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