Willie Mae Berry Pugh
Willie Mae Berry Pugh is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hephzibah, Georgia. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
2013 Teal CtHephzibah, GA 30815
Phone: (706) 790-4961
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1144747437 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 28, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 2013 Teal Ct, Hephzibah, GA 30815-7951 |
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