Individual
ANGELA LYNN VANNORTWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2227 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 391-3320
(229) 391-3325
Mailing address
907 18TH ST E STE 400, TIFTON, GA 31794-3684
(229) 353-3422
(229) 353-6060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN127277
GA
Other
Enumeration date
04/17/2017
Last updated
04/08/2021
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