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Organization
SOUTHEASTERN GYNECOLOGIC ONCOLOGY ,LLC
Active
Organization
SOUTHEASTERN GYNECOLOGIC ONCOLOGY ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAN CORDIER APRN (NURSE PRACTITIONER)
(678) 420-4195
Entity
Organization
Contact information
Practice address
980 JOHNSON FERRY RD NE STE 900, ATLANTA, GA 30342-4768
(678) 420-4100
Mailing address
980 JOHNSON FERRY RD NE STE 900, ATLANTA, GA 30342-4768
(678) 420-4100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN118553 NP
GA
Other
Enumeration date
04/02/2007
Last updated
01/17/2012
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