Beaulah Gilmore

NPI 1235499963 - Registered Nurse - 163WP0808X

NPI Details
NPI 1235499963
Gender Female
Enumeration Date 05/29/2012
Last Updated 05/29/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
175 GWINNETT DR
LAWRENCEVILLE GA, 30046-8444, US
Phone (770) 339-2395
Fax (678) 990-3997
Business Location
3574 ARMINTO DR
ELLENWOOD GA, 30294-6671, US
Phone (770) 507-5450
Fax
Toxanomy
Taxonomy Code 163WP0808X
License State Georgia
License Number RN185870
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According to our database, Beaulah Gilmore NPI is 1235499963, taxonomy code is 163WP0808X and license number is RN185870, license state is located at Georgia. Beaulah Gilmore physically located at 175 Gwinnett Dr, Lawrenceville GA, 30046-8444. NPI Number Beaulah Gilmore has the Individual type.

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1235499963 NPI number is provided on an as is basis without warranty of any kind. 1235499963 is maintained by the National Plan & Provider Enumeration System. The contents of Beaulah Gilmore are for informational purposes only.