NPI 1003579509

George Woodson Gully, LPN

Practitioner Licensed Practical Nurse Jackson, MS

Practice location

Address: 1935 Lakeland Dr STE 900, Jackson, MS 39216-5028
Phone: (601) 718-2468

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 338464 (MS)

Other Licensed Practical Nurse providers in Mississippi →

Registry record

NPI: 1003579509
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Oct 2021
Record last updated: 21 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.