Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Jun 19, 2023
License(s)
RN258960 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 205 CANTON RD | Cumming, GA 30040-2303 | 770-781-9824 |
| MAILING | 5065 VICTORY RIDGE LN | Roswell, GA 30075-3975 | 404-784-8628 |
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