Individual
MS. BETTY RICHARDS NALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3720 DAVINCI CT, NORCROSS, GA 30092-7627
(770) 582-4189
Mailing address
3720 DAVINCI CT, SUITE 400, NORCROSS, GA 30092-7627
(404) 310-4582
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN076930
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003146754A
—
GA
Enumeration date
01/24/2007
Last updated
07/29/2015
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