Registry details
Type
Organization
Primary specialty
Nurse Practitioner, Family
Enumerated
Mar 6, 2012
License(s)
1100007204 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4060 PEACHTREE RD NE D-548 | Atlanta, GA 30319-3020 | 404-858-3834 |
| LOCATION | 4060 PEACHTREE RD NE D-548 | Atlanta, GA 30319-3020 | 404-858-3834 |
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