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Individual

MS. BRENDA JOYCE POYTHRESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
391 S 1ST ST, JESUP, GA 31545-1132
(912) 427-8433
(912) 427-9851
Mailing address
391 S 1ST ST, JESUP, GA 31545-1132
(912) 427-8433
(912) 427-9851

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN210827
GA
207R00000X
Internal Medicine Physician
RN210827
GA

Other

Enumeration date
08/27/2019
Last updated
05/04/2023
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