Individual
MRS. BEVERLY FICKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1537 WALTON WAY, AUGUSTA, GA 30904-3764
(706) 731-1200
Mailing address
4423 SAPELO DR, EVANS, GA 30809-8222
(706) 825-7364
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN191142
GA
Other
Enumeration date
12/30/2015
Last updated
10/20/2023
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