Individual
MS. MARY JO PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1201 18TH ST, COLUMBUS, GA 31901-1724
(706) 322-4950
(706) 322-5614
Mailing address
1201 18TH ST, COLUMBUS, GA 31901-1724
(706) 322-4950
(706) 322-5614
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN118053
GA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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