Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
163WR0400X | |||
Nursing Care |
251J00000X |
| NPI Number | 1588061469 |
||||
| LBN Legal business name | YAY GOD BOO DEVIL LLC | ||||
| Authorized official | CARROLL KELLY - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/20/2014 | ||||
| Last updated | 11/20/2014 - About 12 years ago | ||||
| Identifiers |
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YAY GOD BOO DEVIL LLC
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| MICHAEL SWANHART 300 EAST HOSPITAL ROAD AUGUSTA, GA |
| CARRIE S FOGAL, NP 300 HOSPITAL RD FORT GORDON, GA |
| SANDRA L QUINONES 300 E. HOSPITAL ROAD FORT GORDON, GA |
| WILLIAM S PERKINS, RN EAMC FORT GORDON, GA |
| DESTINY P SAMUELS 300 E HOSPITAL ROAD FORT EISENHOWER, GA |
| SHELLIE C WHITE, NP 140 ALLEN COURT NORTH AUGUSTA, SC |
| RYAN K ANDREWS, FNP 1350 WALTON WAY AUGUSTA, GA |
| EDNA J HEATH, PHD 987 ST SEBASTIAN WAY - EC4350 AUGUSTA, GA |
| BRENDA B GOOLSBY, RN 176 N. PEACHTREE STREET LINCOLNTON, GA |
| NANCY A NEWMAN, RN 176 NORTH PEACHTREE ST. LINCOLNTON, GA |