Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Nov 27, 2023
License(s)
RN282321 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1670 CLAIRMONT RD | Decatur, GA 30033-4004 | 954-557-1420 |
| MAILING | 1670 CLAIRMONT RD | Decatur, GA 30033-4004 | 954-557-1420 |
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