Unknown Individual – Licensed Practical Nurse, NPI 1114191020
Licensed Practical Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2425 TRAVIS RD
2425 TRAVIS ROAD
HEPHZIBAH, GA 308155909
Phone: (706) 796-8211
Type: Mailing
300 BLDG
FORT GORDON, GA 309055650
Phone: (706) 787-7228
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30815)
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