Fly, Mary Gump
Fly, Mary Gump is an sole proprietor health care provider with primary practice located at 1127 Druid Park Ave , Augusta GA 30904-5849. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Fly, Mary Gump can be contacted via phone (706) 364-6485.Contact Information
Primary practice address
1127 Druid Park Ave
Augusta GA 30904-5849
Phone: (706) 364-6485
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | RN163789 | Georgia |
Profile Details
| NPI number | 1629167580 |
|---|---|
| LBN Legal business name | Fly, Mary Gump |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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