MR. Micah A Willis, FNP is a family nurse practitioner in Tifton, GA with 17 years of experience. MR. Micah A Willis, FNP NPI is 1659567832. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1815 OLD OCILLA RD
TIFTON, GA
ZIP 31794-617
Phone: (229) 391-3535
Fax: (229) 391-3529
The NPI 1659567832 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/20/2007 and was last updated on 9/20/2007.