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NPI Code Detail

MEDICARE: GLORIA ARMOUR

MEDICARE: GLORIA ARMOUR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-19-90541GA

General Provider Information

NPI Number : 1205477718
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA ARMOUR
Provider Business Mailing Address
First Line : 130 CORRIDOR RD UNIT 3292
Second Line :
City : PONTE VEDRA BEACH
State : FL
Zip : 32004-7833
Country : US
Telephone Number : 904-638-6388
Fax Number : 904-485-8829
Provider Business Practice Location Address
First Line : 1709 BUNKER HILL RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31907-6719
Country : US
Telephone Number : 904-638-6388
Fax Number : 904-485-8829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2019
Last Update Date : 01/03/2020

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Directions to “ GLORIA ARMOUR ” Practice Location

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