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Individual

ALYSSA DIANNE PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP-C

Contact information

Practice address
129 BANKHEAD HWY, CARROLLTON, GA 30117-3425
(770) 838-8440
Mailing address
312 BANNING RD, WHITESBURG, GA 30185-2529
(770) 676-8459

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN324311
GA

Other

Enumeration date
02/01/2025
Last updated
02/03/2025
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