MARY GUMP FLY

AUGUSTA, GA
NPI1629167580
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: GA  rn163789)
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
Ms. MARY GUMP FLY ACNP
1127 DRUID PARK AVE
AUGUSTA, GA 30904-5849
Phone number: 706-364-6485
Mailing Address
Ms. MARY GUMP FLY ACNP
1231 GLENN AVE
AUGUSTA, GA 30904-4615
Phone number: 706-736-1731