Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Aug 25, 2020
License(s)
RN237986 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3747 ROSWELL RD | Marietta, GA 30062-6215 | 470-956-0150 |
| MAILING | 3747 ROSWELL RD | Marietta, GA 30062-6215 | 470-956-0150 |
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