SearchGeorgia363LA2100X

Archie Person, ACNPC-AG

NPI 1487296034 · on the registry since 2019 · sole proprietor

Practice

Address
7933 Ivy Park Dr
Fortson, GA 31808
Phone
(706) 587-0716
Fax
(706) 587-0716

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia