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Contact Information

GLORIA BOSTICK, RN
301 CLUB VILLA CT STE 3
KATHLEEN, GA31047-5434
 Phone: 478-218-9031
 Fax: 478-218-0203
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for GLORIA BOSTICK · (Female)

NPI Number 1528665569
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 10/02/2020
Last updated 10/02/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN063053
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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