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DONNA K CISSON RN
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1376637892
Individual Registrant: DONNA K CISSON RN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
222 NORTH BOULEVARD TOCCOA, GA 30577 US
Tel: 706-282-4507 Fax: 706-282-4511
Tel: 706-282-4507 Fax: 706-282-4511
Contact information for business:
6762 HANCOCK DR TOCCOA, GA 30577 US
Tel: 706-282-4504 Fax: 706-282-4511
Tel: 706-282-4504 Fax: 706-282-4511
Registration Information:
NPI: 1376637892
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163W00000X | Nursing Service Providers Registered Nurse | GA | RN101513 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
