Individual
JANA A LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
745 GLYNN ST S, FAYETTEVILLE, GA 30214-2049
(770) 719-5490
(770) 719-3113
Mailing address
745 GLYNN ST S, FAYETTEVILLE, GA 30214-2049
(770) 719-5490
(770) 719-3113
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN290155
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN290155
LICENSE
GA
Enumeration date
04/14/2021
Last updated
04/14/2021
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