Registry details
Type
Organization
Primary specialty
Nurse Practitioner, Family
Enumerated
Apr 20, 2026
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1800 PHOENIX BLVD STE 200 | Atlanta, GA 30349-5557 | 678-705-3814 |
| MAILING | 1800 PHOENIX BLVD STE 200 | Atlanta, GA 30349-5557 | 678-705-3814 |
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