Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Primary Care
Enumerated
Jun 12, 2026
License(s)
APRN-NP324237 (GA), APRN-NP324237 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2511 LONGCOURT CIR SE | Atlanta, GA 30339-1796 | |
| LOCATION | 3101 CLAIRMONT RD NE | Brookhaven, GA 30329-1044 | 404-315-4100 |
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