JACQUELINE MODER

specializing in nurse practitioner in Blackshear, Georgia

NPI: 1568071777

Provider Type

1

Practice Locations

Mailing Location

6115 COTTONWOOD LN

BLACKSHEAR, GA 31516

📞 9122864400

Practice Location

1912 MEMORIAL DR STE E

WAYCROSS, GA 31501

📞 9122837100

Provider Information

Gender:F
Sole Proprietor:No
Enumeration Date:7/24/2020
Last Updated:7/24/2020

Credentials

Primary Credential:
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