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Individual

EBONY HILLMON-SCRUGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-C

Contact information

Practice address
202 W GORDON ST STE A202, VALDOSTA, GA 31601-4569
(229) 474-4101
(229) 349-6006
Mailing address
202 W GORDON ST STE A202, VALDOSTA, GA 31601-4569
(229) 474-4101
(229) 349-6006

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN169512
GA
363LF0000X
Family Nurse Practitioner
RN269512
GA

Other

Enumeration date
03/26/2017
Last updated
04/11/2024
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