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Individual

MRS. ANGELA C WOOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC

Contact information

Practice address
1000 TOWNE CENTER BLVD STE 301, POOLER, GA 31322-4068
(912) 644-4900
Mailing address
1000 TOWNE CENTER BLVD STE 301, POOLER, GA 31322-4068
(912) 644-4900

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN115523
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01182119
AMERIGROUP
GA
05
553125979A
GA
01
RN115523
GEORGIA NP LICENSE
GA
Enumeration date
03/20/2008
Last updated
01/30/2024
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