Individual
BERNARD GITAU MUTHONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
150 GENTILLY BLVD, CARTERSVILLE, GA 30120-8522
(470) 490-6510
(770) 276-7202
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN198800
GA
Other
Enumeration date
03/12/2020
Last updated
11/02/2020
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