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BETSY DAUGHARTY CLIFTON FNP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1063961522

Individual Registrant:
 BETSY DAUGHARTY CLIFTON FNP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
180 CARSWELL ST  HOMERVILLE, GA 31634 US
Tel: 912-487-1654  Fax: 912-487-1659

Contact information for business:
180 CARSWELL ST  HOMERVILLE, GA 31634-2413 US
Tel: 912-487-1654  Fax: 912-487-1659

Registration Information:
NPI: 1063961522
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN149472

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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