Individual
ESTHER MODUPE DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
475 PHILIP BLVD, LAWRENCEVILLE, GA 30046-2614
(770) 995-3300
Mailing address
475 PHILIP BLVD, LAWRENCEVILLE, GA 30046-8737
(770) 995-3300
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN260007
GA
Other
Enumeration date
03/23/2021
Last updated
10/03/2021
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