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Virginia Grace Gourley
Student in an Organized Health Care Education/Training Program in Vidalia, Georgia
NPI 1548976061

Virginia Grace Gourley is a Student in an Organized Health Care Education/Training Program based in Vidalia, GA. Virginia Grace Gourley practices in Vidalia, GA. The NPI Number for Virginia Grace Gourley is 1548976061 and holds a License No. (Georgia).

The current practice location address for Virginia Grace Gourley is 306 W 1St St, Vidalia, GA and can be reached out via phone at 912-537-3049.

Location: 306 W 1St St, Vidalia, GA, 30475-0120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548976061
Provider Name
Virginia Grace Gourley
Credential
Provider Entity Type
Individual
Gender
Female
Address
306 W 1St St, Vidalia, GA, 30475-0120
Phone Number
912-537-3049
Fax Number
Provider Enumeration Date
01/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
306 W 1St St
City
Vidalia
State
Georgia
Zip
30474-3369
Phone Number
912-537-3049
Fax Number
person
Provider Business Mailing Address Details
Address
306 W 1St St
City
Vidalia
State
Georgia
Zip
30474-3369
Phone Number
912-537-3049
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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