ZILLAH NGUM ANAGHO TAH NP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Primary Care
Provider Information
- NPI Number
1962997445- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 777 HEMLOCK ST, MACON, GA, 312012102
- Phone
- (318) 243-7502
Specialties & Taxonomies
Nurse Practitioner, Primary Care
Primary License: GA #F03180516
Nurse Practitioner, Psych/Mental Health
License: GA #2025069566