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EBONY NOEL BARNES LPN
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1770170052
Individual Registrant: EBONY NOEL BARNES LPN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
718 POST ROAD LN STONE MOUNTAIN, GA 30088-2246 US
Tel: 601-517-7078 Fax: --
Tel: 601-517-7078 Fax: --
Contact information for business:
718 POST ROAD LN STONE MOUNTAIN, GA 30088-2246 US
Tel: 601-517-7078 Fax: --
Tel: 601-517-7078 Fax: --
Registration Information:
NPI: 1770170052
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | GA | LPN095133 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
