AE MARY VILAYVONG IRWIN NP
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1306498605- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 380 HOSPITAL DR STE 320, MACON, GA, 312178007
- Phone
- (478) 750-8606
Specialties & Taxonomies
Neurological Surgery
License: GA #RN110412
Nurse Practitioner
Primary License: GA #RN145963