Individual
MARY MONTGOMERY MOBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, APRN
Contact information
Practice address
190 GREENCASTLE RD, TYRONE, GA 30290-2936
(770) 487-7807
Mailing address
3657 ELEANORS TRCE, GAINESVILLE, GA 30506-3649
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2063359
GA
Other
Enumeration date
10/24/2012
Last updated
09/16/2019
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