Individual
KALA JO BUGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1785
(222) 433-1000
Mailing address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1785
(615) 969-6254
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN246678
GA
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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