Bostic, Octavia

Bostic, Octavia is an sole proprietor health care provider with primary practice located at 7670 Creekside Lane , Riverdale GA 30296. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Bostic, Octavia can be contacted via phone (863) 777-3846.

Contact Information

Primary practice address
7670 Creekside Lane Riverdale GA 30296
Phone: (863) 777-3846
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X Georgia

Profile Details

NPI number 1255973251
LBN Legal business name Bostic, Octavia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2019
Last updated Oct 10th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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