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Luanne Hetrick
NPI 1528456001 · on the registry since 2015 · sole proprietor
Practice
- Address
- 96 Lakeshore Dr Ste B
Saint Marys, GA 31558 - Phone
- (912) 510-9355
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 225700000X
- Licence states on file
- GA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-01-06
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