Willem Jefferson De Vries
Willem Jefferson De Vries is a Student in an Organized Health Care Education/Training Program in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2025.
- Licensed in
- GA
- In the registry since
- 2025
Practice location Address checks out
1120 15th St # BI5070Augusta, GA 30912-0004
Phone: (706) 721-2423
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 17397 (GA) |
|---|
Record details
| NPI number | 1235928466 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 5, 2025 |
| Last updated in NPPES | May 5, 2025 |
| Certification date | May 4, 2025 |
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