Individual
GLADYS MUTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
495 CHARLES HARDY PKWY, DALLAS, GA 30157-5723
(866) 389-2727
Mailing address
495 CHARLES HARDY PKWY, DALLAS, GA 30157-5723
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN255569
GA
Other
Enumeration date
06/30/2020
Last updated
09/23/2024
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