Individual provider · Type 1 NPI

Willem Jefferson De Vries

Student in an Organized Health Care Education/Training Program · Augusta, GA

NPI number 1235928466 Active

Practice location

1120 15th St # BI5070
Augusta, GA 30912-0004

Call (706) 721-2423 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X17397 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235928466

Willem Jefferson De Vries's National Provider Identifier is 1235928466, issued on May 5, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Augusta, GA. The record was last updated on May 5, 2025.