Individual
ROSEYLEE KURIAKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
367 ATHENS HWY, LOGANVILLE, GA 30052-2204
(678) 466-6760
Mailing address
367 ATHENS HWY, LOGANVILLE, GA 30052-2204
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN220165
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN220165
—
GA
Enumeration date
10/02/2020
Last updated
10/02/2020
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