Individual
MISS JULIET ELIZABETH WAUGH PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
106 W NORTHSIDE DR, VALDOSTA, GA 31602-1713
(229) 244-4502
Mailing address
106 W NORTHSIDE DR, VALDOSTA, GA 31602-1713
(229) 244-4502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN124737
GA
Other
Enumeration date
08/09/2010
Last updated
12/21/2012
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