Individual
RACHEL KATHLEEN POAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3500 DULUTH PARK LN STE 220, DULUTH, GA 30096-3230
(678) 878-2808
Mailing address
PO BOX 171, SUWANEE, GA 30024-0002
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN268780
GA
Other
Enumeration date
12/03/2018
Last updated
11/20/2019
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