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Individual

ANNA A ALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
4349 NORTHMARK LN, BUFORD, GA 30518-3316
(505) 985-0948
Mailing address
425 ROCKBASS RD, SUWANEE, GA 30024-6894
(505) 985-0948

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP-03194
NM
363LF0000X
Family Nurse Practitioner
Primary
RN277137
GA

Other

Enumeration date
03/29/2017
Last updated
08/31/2021
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