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NPI Profile for DANA M AVIST in VIDALIA, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1023062577 |
|
| Status | Active | |
| Credentials | APRN, BC | |
| Entity | Individual | |
| Enumeration date | 05/20/2006 | |
| Last updated | 08/16/2010 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DANA M AVIST
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DANA M AVIST, APRN, BC