Individual provider · NPI-1

George Arthur Lilly Sr.

Nursing Care · Albany, GA

NPI number1447856901
StatusActive
Last updated in NPPESDec 9, 2020

Details

NPI
1447856901
Entity type
Individual (NPI-1)
Name
George Arthur Lilly Sr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 9, 2020
Certification date
Dec 9, 2020
Last updated
Dec 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251J00000X Nursing Care––Yes

Practice location

1503 Stuart Ave
Albany, GA 31707-1809

Phone 229-255-4558 · Fax 229-405-3507

Mailing address

1503 Stuart Ave
Albany, GA 31707-1809

Phone 229-255-4558 · Fax 229-405-3507

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