Organization
MULBERRY PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOCILLI WALTON FNP (FNP)
(678) 736-0460
Entity
Organization
Contact information
Practice address
831 AUBURN RD STE 230, DACULA, GA 30019-5437
(678) 232-7332
(470) 300-1100
Mailing address
2716 WILDFLOWER WAY, HOSCHTON, GA 30548-3653
(678) 736-0460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
10/03/2024
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