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Individual

HEATH JACKSON PARRISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
110 NORMAN DORMINY DR STE A, FITZGERALD, GA 31750-8858
(229) 409-0874
(229) 409-0877
Mailing address
190 DEERWOOD CIR, FITZGERALD, GA 31750-6511

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN176061
GA

Other

Enumeration date
07/10/2012
Last updated
11/30/2020
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