Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Nov 6, 2020
License(s)
RN298677 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 550 PEACHTREE ST NE STE 1275 | Atlanta, GA 30308-2240 | 704-776-3578 |
| MAILING | 550 PEACHTREE ST NE STE 1275 | Atlanta, GA 30308-2240 | 404-872-3121 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.