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Individual

TIERRA LYNNE DALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN

Contact information

Practice address
255 E PACES FERRY RD NE, ATLANTA, GA 30305-2233
(240) 362-5148
Mailing address
255 E PACES FERRY RD NE, ATLANTA, GA 30305-2233
(240) 362-5148

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R189203
MD

Other

Enumeration date
09/12/2023
Last updated
09/12/2023
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