Individual
MR. FRANK TICHORLA WAJULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 MITCHELL BRIDGE RD, ATHENS, GA 30606-2043
(888) 839-0743
Mailing address
3913 POTOMAC WALK CT, LOGANVILLE, GA 30052-7635
(678) 670-4407
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN276761
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN276761
GA
Other
Enumeration date
08/18/2019
Last updated
08/08/2024
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