Individual
DR. CHARITY D, WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2815 N ASHLEY ST, VALDOSTA, GA 31602-1806
(229) 253-9069
Mailing address
932 MADISON AVE, VALDOSTA, GA 31602-7227
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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