Individual
WILLIE MAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
92 VANCEVILLE COUNTY LINE RD, TIFTON, GA 31794-9169
(229) 388-1354
Mailing address
92 VANCEVILLE COUNTY LINE RD, TIFTON, GA 31794-9169
(229) 388-1354
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN129250
GA
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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