Individual
ANSLEY OWENS BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
1218 W PACES FERRY RD NW STE 108, ATLANTA, GA 30327-2308
(678) 986-3168
(404) 261-3996
Mailing address
1218 W PACES FERRY RD NW STE 108, ATLANTA, GA 30327-2308
(404) 233-3937
(404) 261-3996
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN226216
GA
Other
Enumeration date
07/27/2017
Last updated
07/21/2022
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