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Lifeway Training Institute Co
Psychiatric/Mental Health Nurse Practitioner in Cairo, Georgia
NPI 1003568817

Lifeway Training Institute Co is a Psychiatric/Mental Health Nurse Practitioner based in Cairo, GA and is specialized in Psychiatric/Mental Health. Lifeway Training Institute Co practices in Cairo, GA. The NPI Number for Lifeway Training Institute Co is 1003568817 and holds a License No. (Georgia).

The current practice location address for Lifeway Training Institute Co is 410 4Th St Se, Cairo, GA and can be reached out via phone at 229-403-9964.

Location: 410 4Th St Se, Cairo, GA, 39828-2775
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003568817
Provider Name
Lifeway Training Institute Co
Credential
Provider Entity Type
Organization
Address
410 4Th St Se, Cairo, GA, 39828-2775
Phone Number
229-403-9964
Fax Number
Provider Enumeration Date
01/23/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1083071898 05 GA
1083071898 01 GA BLUE CROSS BLUE SHIELD/ANTHEM
institution
Provider Business Practice Location Address Details
Address
410 4Th St Se
City
Cairo
State
Georgia
Zip
39828-2775
Phone Number
229-403-9964
Fax Number
person
Provider Business Mailing Address Details
Address
410 4Th St Se
City
Cairo
State
Georgia
Zip
39828-2775
Phone Number
229-403-9964
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
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Definition
Definition to come...
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