Isha Denegall

NPI # 

Practice Address:

209 3Rd St Nw

Moultrie, GA, 31768-3831

Practice Phone:

229-589-7174

License Number:

RN191407

License State:

GA

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Code:

363L00000X