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MARY JO GREENWAY NP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1194007971

Individual Registrant:
 MARY JO GREENWAY NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
117 KITE RD SECOND FLOOR SWAINSBORO, GA 30401-3231 US
Tel: 478-289-1150  Fax: 478-289-1199

Contact information for business:
291 JOHNSON GROVE CHURCH RD  MIDVILLE, GA 30441-4744 US
Tel: 478-763-3851  Fax: 678-827-0711

Registration Information:
NPI: 1194007971
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GARN144604

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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