Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Oct 4, 2018
License(s)
RN231657 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 55 WHITCHER ST NE | Marietta, GA 30060-1155 | 770-428-4475 |
| LOCATION | 55 WHITCHER ST NE | Marietta, GA 30060-1155 | 770-428-4475 |
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