Individual
ASHLEY SCRUGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
470 LAZY RIVER DR, VALDOSTA, GA 31602-8245
(229) 300-4987
Mailing address
470 LAZY RIVER DR, VALDOSTA, GA 31602-8245
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN222934
GA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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