BILL M PROVOST
Nursing Home Administrators at Smt North Dr, Atlanta, GA

License number
Florida 1648
Issued Date
Feb 26, 1980
Effective Date
Jan 1, 1901
Expiration Date
Jun 30, 1992
Category
Health Care
Type
Nursing Home Administrator
Address
Address
722 Summit North Dr NORTH, Atlanta, GA 30324
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Bill M Provost
1705 Monroe Dr, Atlanta, GA 30324
(404) 872-9591

Nursing Home Administrators licenses in Florida