Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Dec 3, 2015
License(s)
RN212591 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3950 AUSTELL RD | Austell, GA 30106-1121 | 770-732-3886 |
| MAILING | 5665 NEW NORTHSIDE DR | Atlanta, GA 30328-5831 | 770-874-6907 |
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