Individual
MS. GEERTRUIDA CORNELIA DISSELDORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2660 OSBORNE RD NE, ATLANTA, GA 30319-2832
(404) 231-9363
(404) 231-9569
Mailing address
1337 SHAW DRIVE, MARIETTA, GA 30066-5627
(404) 231-9363
(404) 231-9569
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN100092
GA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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