Willie Mae Berry Pugh

NPI #1144747437 in Hephzibah, Georgia

Provider Information

NPI Number: 1144747437
Entity Type: Individual
Name: Willie Mae Berry Pugh
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 28, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 2013 TEAL COURT
City: Hephzibah
State: Georgia
ZIP Code: 30815
Phone: (706) 790-4961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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