Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Primary Care
Enumerated
Jan 27, 2017
License(s)
726592 (NY), APRN-NP292729 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 6793 GRAND HICKORY DR | Braselton, GA 30517-3404 | 347-517-3023 |
| LOCATION | 3890 JOHNS CREEK PKWY | Suwanee, GA 30024-1284 | 347-517-3023 |
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