Individual
CHERYL A KLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P. C
Contact information
Practice address
1405 ALICE ST, WAYCROSS, GA 31501-4528
(912) 285-3157
(912) 283-2051
Mailing address
1405 ALICE ST, WAYCROSS, GA 31501-4528
(912) 285-3157
(912) 283-2051
Taxonomy
Speciality
Code
Description
License number
State
209800000X
Legal Medicine (M.D./D.O.) Physician
Primary
RN094587
GA
363LF0000X
Family Nurse Practitioner
ARNP9210966
FL
Other
Enumeration date
06/21/2006
Last updated
05/06/2009
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