Individual
IVY DUNCAN FRALICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3564 NORTHCROSSING CIR, VALDOSTA, GA 31602-6412
(229) 247-1414
Mailing address
117 STARMOUNT DR, VALDOSTA, GA 31605-6454
(229) 249-8975
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN149522
GA
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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