Moragne, Glenn Dale

Moragne, Glenn Dale is an individual health care provider with primary practice located at 2808 Havenwood Dr , Conyers GA 30094-8005. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Moragne, Glenn Dale can be contacted via phone (770) 761-6502.

Contact Information

Primary practice address
2808 Havenwood Dr Conyers GA 30094-8005
Phone: (770) 761-6502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN037929 Georgia

Profile Details

NPI number 1346285020
LBN Legal business name Moragne, Glenn Dale
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Jul 8th, 2007 - about 19 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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