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Individual

JULIE EVANS WILLINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
800 AUSTIN DR, DEMOREST, GA 30535-4508
(706) 839-4092
(706) 839-1970
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
246148
GA
363LF0000X
Family Nurse Practitioner
Primary
RN246148
GA

Other

Enumeration date
11/30/2016
Last updated
06/13/2023
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