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1912508532
LACEY NICHOL PRESTON
AUGUSTA, GA
NPI
1912508532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 10095)
Enumeration Date
2020-11-02
Last Update Date
2021-07-22
Business Address
LACEY NICHOL PRESTON PA-C
1210 ROY RD
AUGUSTA, GA 30909-1812
Phone number: 706-860-6515
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Mailing Address
LACEY NICHOL PRESTON PA-C
1210 ROY RD
AUGUSTA, GA 30909-1812
Phone number: 706-860-6515
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