Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIE MAE BERRY PUGH
Active Sole ProprietorWILLIE MAE BERRY PUGH is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in HEPHZIBAH, Georgia. NPI 1144747437 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · HEPHZIBAH, GA
Registration Details
- NPI Number
- 1144747437
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2017 (8.7754003763094 yrs)
- Last Updated
- Jul 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
2013 TEAL COURTHEPHZIBAH, GA, 30815Browse GA providers · Browse ZIP 30815
- Phone
- 7067904961
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Other Intellectual Disabilities Residential Treatment Facility Providers in HEPHZIBAH, GA
| Name | Credential | NPI |
|---|---|---|
| ZORANA KOSTOSKI | — | 1619354685 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.