Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Apr 12, 2021
License(s)
RN194923 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 116 KASEY DR | Woodstock, GA 30189-5228 | 678-988-5680 |
| LOCATION | 4255 WADE GREEN RD NW STE 925 | Kennesaw, GA 30144-1762 | 404-380-1711 |
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