Individual
BOBBY JEAN MUSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C, NP-BC
Contact information
Practice address
1309 OCILLA RD STE A, DOUGLAS, GA 31533-2209
(129) 384-2252
Mailing address
204 E 4TH ST, OCILLA, GA 31774-1539
(229) 468-9166
(229) 468-9188
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN118123
GA
Other
Enumeration date
07/09/2019
Last updated
11/12/2021
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