Individual provider · NPI-1

Lisa Ailes

Nurse Practitioner · Columbus, GA

NPI number1174913248
StatusActive
Last updated in NPPESJan 28, 2015

Details

NPI
1174913248
Entity type
Individual (NPI-1)
Name
Lisa Ailes
Sex
Female
Sole proprietor
No
Enumeration date
Jan 28, 2015
Last updated
Jan 28, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerRN243650GAYes

Practice location

2737 Warm Springs Road
Columbus, GA 31904

Phone 706-653-2255

Mailing address

4519 Woodruff Road
Suite 4 Pmb 349
Columbus, GA 31904

Phone 706-653-2255 · Fax 706-653-2329

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