Individual
KRISTY ANNE PASTUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
387 GOSHEN CHURCH WAY, WALESKA, GA 30183-2347
(912) 230-9561
Mailing address
387 GOSHEN CHURCH WAY, WALESKA, GA 30183-2347
(912) 230-9561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN209718
GA
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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