Mildred Potter Stull, RN, NP

NPI #1215095468 in Jackson, Georgia

Provider Information

NPI Number
1215095468
Entity Type
Individual
Name
Mildred Potter Stull, RN, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
RN, NP
Enumeration Date
Dec 4, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
1050 MCDONOUGH RD
State
Georgia
ZIP Code
30233-1524
Phone
(770) 775-7861

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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