Individual
GINA LEEANN BAUKNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3905 BROOKSIDE PKWY STE 300, ALPHARETTA, GA 30022-4458
(770) 442-1911
Mailing address
280 OLD HICKORY RD, WOODSTOCK, GA 30188-4555
(931) 472-9556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN331352
GA
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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