Individual
MR. BERNARD JOSEPH WORTMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(706) 294-1055
Mailing address
2115 WESTFIELD DR, VALDOSTA, GA 31602-2154
(706) 294-1055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN195733
GA
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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