NPI 1962804484

Lorraine Davis Fleetwood

Practitioner Specialist Hinesville, GA

Practice location

Address: 911 Mandarin Dr, Hinesville, GA 31313-6303
Phone: (912) 368-3798

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1962804484
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Sep 2014
Record last updated: 17 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.