Micah A Willis FNP

NPI 1659567832 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1659567832
Gender Male
Enumeration Date 09/20/2007
Last Updated 09/20/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1815 OLD OCILLA RD
TIFTON GA, 31794-1617, US
Phone (229) 391-3535
Fax (229) 391-3529
Business Location
1815 OLD OCILLA RD
TIFTON GA, 31794-1617, US
Phone (229) 391-3535
Fax (229) 391-3529
Toxanomy
Taxonomy Code 363LF0000X
License State Georgia
License Number RN151609
Remove 1659567832 NPI Number
 

According to our database, Mr. Micah A Willis FNP NPI is 1659567832, taxonomy code is 363LF0000X and license number is RN151609, license state is located at Georgia. Micah A Willis FNP physically located at 1815 Old Ocilla Rd, Tifton GA, 31794-1617. NPI Number Micah A Willis FNP has the Individual type.

Sponsored links

1659567832 NPI number is provided on an as is basis without warranty of any kind. 1659567832 is maintained by the National Plan & Provider Enumeration System. The contents of Micah A Willis FNP are for informational purposes only.