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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Student (Health Education/Training) · HINESVILLE, GA

Registration Details

NPI Number
1477369668
Provider Type
Individual
Gender
Male
NPI Issued
Dec 4, 2024 (1.3830823449321 yrs)
Last Updated
Dec 4, 2024

Practice Information

Address
57 DAYLILY CT
HINESVILLE, GA, 313139553
Browse GA providers · Browse ZIP 31313
Phone
3155238389
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in HINESVILLE, GA

Name Credential NPI
MRS. LASHAWN SHAYLA GAINES 1265278469
JULIA CARMEN LEACH 1740171131
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.