Individual
REBECCA FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4775 JIMMY CARTER BLVD STE 201, NORCROSS, GA 30093-3760
(470) 275-4911
Mailing address
4775 JIMMY CARTER BLVD STE 201, NORCROSS, GA 30093-3760
(470) 275-4911
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN227352
GA
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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