Willis, Micah A
Willis, Micah A is an individual health care provider with primary practice located at 1815 Old Ocilla Rd , Tifton GA 31794-1617. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Willis, Micah A can be contacted via phone (229) 391-3535.Contact Information
Primary practice address
1815 Old Ocilla Rd
Tifton GA 31794-1617
Phone: (229) 391-3535
Fax: (229) 391-3529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN151609 | Georgia |
Profile Details
| NPI number | 1659567832 |
|---|---|
| LBN Legal business name | Willis, Micah A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2007 |
| Last updated | Sep 20th, 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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