Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Dec 24, 2021
License(s)
268744 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 59 TIPTON DR | Dahlonega, GA 30533-1603 | 706-864-8385 |
| MAILING | 35 GREENWOOD PARK WAY | Dawsonville, GA 30534-8441 | 678-707-9645 |
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