Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Aug 10, 2022
License(s)
RN283458 (GA), RN283458 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 531 WITCHER RD | Newnan, GA 30263-4640 | 262-758-1654 |
| LOCATION | 110 OAK HILL BLVD STE 200 | Newnan, GA 30265-2313 | 770-304-0987 |
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