Doctor Name: | MR. VOYNE SOUTER |
NPI Number: | 1427222447 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-C |
License Number: | RN134611 |
Business Practice Address: | Rivers State Prison Hardwick, GA - 31034 |
Business Phone Number: | 4784454591 |
Business Fax Number: | |
Mailing Address: | Po Box 1500, HARDWICK |
State: | GA |
Postal Code: | 31034 |
Phone Number: | 4785529903 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2008 |
NPI Last Update Date: | 04/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN134611 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |