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MRS. MISTY LEIGH MCGOUGH FNP

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

Registrant NPI Number: 1942884275

Individual Registrant:
MRS. MISTY LEIGH MCGOUGH FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
113 DEWBERRY DR  SYLVESTER, GA 31791-7215 US
Tel: 229-344-6842  Fax: --

Contact information for business:
113 DEWBERRY DR  SYLVESTER, GA 31791-7215 US
Tel: 229-344-6842  Fax: --

Registration Information:
NPI: 1942884275
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN201594

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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