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Organization
NP'S HIRED
Active
Organization
NP'S HIRED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J CHARLOT FNP-C (DIRECTOR)
(770) 256-2739
Entity
Organization
Contact information
Practice address
4359 RAINER DR, ATLANTA, GA 30349-3993
(770) 256-2739
Mailing address
4359 RAINER DR, ATLANTA, GA 30349-3993
(770) 256-2739
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN187056
GA
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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