Individual
JILL PAVESICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 BELLEVUE RD, SUITE 26, DUBLIN, GA 31021-2885
(478) 272-8266
(478) 272-7552
Mailing address
1715 MINTER BLUE SPRINGS RD, ROCKLEDGE, GA 30454-1228
(478) 697-2665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN164363
GA
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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