Individual
JAMES TRUBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1907 SOQUE CIR, JEFFERSON, GA 30549-2312
(678) 977-8936
Mailing address
1907 SOQUE CIR, JEFFERSON, GA 30549-2312
(678) 977-8936
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN236477
GA
363LA2100X
Acute Care Nurse Practitioner
RN236477
GA
Other
Enumeration date
06/17/2022
Last updated
06/28/2022
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