Individual
ANNE W. MUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 HICKORY CREEK CT NW, ACWORTH, GA 30102-6413
(404) 772-3121
Mailing address
1802 HICKORY CREEK CT NW, ACWORTH, GA 30102-6413
(404) 772-3121
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN199717
GA
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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