Individual
RENEE AZIZA MULENDWE GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1525 CLIFTON RD NE, ATLANTA, GA 30322-4200
(404) 778-4451
Mailing address
1525 CLIFTON RD NE STE 408, ATLANTA, GA 30322-4200
(404) 778-4451
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
225307
GA
363LP2300X
Primary Care Nurse Practitioner
225307
GA
Other
Enumeration date
09/18/2012
Last updated
05/24/2017
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