Individual
FLORENCE ACHILIHU ADIELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5293 HERON BAY BLVD, LOCUST GROVE, GA 30248-7104
(706) 769-7658
Mailing address
5293 HERON BAY BLVD, LOCUST GROVE, GA 30248-7104
(706) 769-7658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN150335
GA
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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