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Individual

ALLISAN FAYE MEADOWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FPN-BC

Contact information

Practice address
465 DACULA RD STE I, DACULA, GA 30019-2171
(770) 822-1922
Mailing address
465 DACULA RD STE I, DACULA, GA 30019-2171
(770) 822-1922

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN112983
GA

Other

Enumeration date
12/25/2019
Last updated
12/25/2019
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