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MR. DAVID R METHENY APRN-BC

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

Registrant NPI Number: 1538391453

Individual Registrant:
MR. DAVID R METHENY APRN-BC
Gender: M
Sole Proprietor

Location and contact information for practice:
72 S BROAD ST  ELLAVILLE, GA 31806-3457 US
Tel: 229-937-5321  Fax: 229-937-2232

Contact information for business:
72 S BROAD ST  ELLAVILLE, GA 31806-3457 US
Tel: 229-937-5321  Fax: 229-937-2232

Registration Information:
NPI: 1538391453
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN112998

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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