Individual
MS. BEVERLY ANN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2000 PALMYRA RD, ALBANY, GA 31701-1528
(229) 434-2173
(229) 434-2548
Mailing address
2000 PALMYRA RD, ALBANY, GA 31701-1528
(229) 434-2173
(229) 434-2548
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN141960
GA
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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