Individual
MRS. BETHANY WOODRUFF GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, NP-C
Contact information
Practice address
73 SW PARK AVE, BAXLEY, GA 31513-0703
(912) 705-8050
(912) 705-8051
Mailing address
73 SW PARK AVE STE B, BAXLEY, GA 31513-2008
(912) 705-8051
(912) 705-8051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN204317
GA
363LF0000X
Family Nurse Practitioner
RN204317
GA
Other
Enumeration date
09/20/2013
Last updated
10/15/2025
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