Individual
MR. DAVID N ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
11 UPPER RIVERDALE RD, RIVERDALE, GA 30274-0000
(770) 991-8000
Mailing address
235 PEACHTREE ST NE, NORTH TOWER, SUITE 2100, ATLANTA, GA 30303-1401
(770) 994-9326
(770) 994-4747
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN136301
GA
363LF0000X
Family Nurse Practitioner
Primary
RN 136301 NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01190343
AMERIGROUP
GA
05
—
589185903G
—
GA
05
—
589185903H
—
GA
05
—
589185903I
—
GA
Enumeration date
05/11/2006
Last updated
08/06/2008
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