Larry Lenard Pearson SR.

NPI 1164655254 - Registered Nurse - 163W00000X

NPI Details
NPI 1164655254
Gender Male
Enumeration Date 08/24/2009
Last Updated 08/24/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
207 SOLOMON DR
ELLENWOOD GA, 30294-4508, US
Phone (770) 506-9256
Fax (678) 759-0164
Business Location
207 SOLOMON DR
ELLENWOOD GA, 30294-4508, US
Phone (770) 506-9256
Fax (678) 759-0164
Toxanomy
Taxonomy Code 163W00000X
License State Georgia
License Number RN151384
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According to our database, Mr. Larry Lenard Pearson SR. NPI is 1164655254, taxonomy code is 163W00000X and license number is RN151384, license state is located at Georgia. Larry Lenard Pearson SR. physically located at 207 Solomon Dr, Ellenwood GA, 30294-4508. NPI Number Larry Lenard Pearson SR. has the Individual type.

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1164655254 NPI number is provided on an as is basis without warranty of any kind. 1164655254 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Lenard Pearson SR. are for informational purposes only.