Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Jan 19, 2024
License(s)
NP186091 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2701 N DECATUR RD | Decatur, GA 30033-5918 | 404-501-4200 |
| LOCATION | 2701 NORTH DECATUR ROAD 2701 NORTH DECATUR ROAD | Decatur, GA 30033 | 404-501-4200 |
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