| Baserine C Grace, LPN | |
|
2121a Bellevue Rd, Dublin, GA 31021-2998 | |
| (478) 272-1190 | |
| Not Available |
| Full Name | Baserine C Grace |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2121a Bellevue Rd, Dublin, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013156132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN024259 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Baserine C Grace, LPN 2121a Bellevue Rd, Dublin, GA 31021-2998 Ph: (478) 272-1190 | Baserine C Grace, LPN 2121a Bellevue Rd, Dublin, GA 31021-2998 Ph: (478) 272-1190 |
Ms. Betty Ann Boutwell, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2121a Bellevue Rd, Dublin, GA 31021 Phone: 478-272-1190 Fax: 478-275-6509 | |
Angela J. Hackle, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2121a Bellevue Rd, Dublin, GA 31021 Phone: 478-272-1190 Fax: 478-274-7665 | |
Janean J. Giddens, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2121a Bellevue Rd, Dublin, GA 31021 Phone: 478-272-1190 | |
Lucinda L. Moore, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2121a Bellevue Rd, Dublin, GA 31021 Phone: 478-272-1190 | |
Mrs. Malory Manders Northrup, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 | |
Mrs. Chiquail M Walker, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2121 A Bellevue Rd, Dublin, GA 31021 Phone: 478-272-1190 Fax: 478-275-6509 |