Doctor Name: | MS. MARY GAIL FERRA |
NPI Number: | 1396175873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NPC |
License Number: | RN040735 |
Business Practice Address: | 804 E 16th Ave Cordele, GA - 310151514 |
Business Phone Number: | 2292738881 |
Business Fax Number: | 2292738985 |
Mailing Address: | 63 Fox Ridge Rd, DOUGLAS |
State: | GA |
Postal Code: | 315355630 |
Phone Number: | 9123839953 |
Fax Number: | |
NPI Enumeration Date: | 11/19/2013 |
NPI Last Update Date: | 11/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SW0102X |
License Number: | RN040735 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |