Individual
DAWN AIESHA PRINTUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1279 HIGHWAY 54 W STE 100, FAYETTEVILLE, GA 30214-4551
(770) 719-5710
Mailing address
1948 OLD OCILLA RD, TIFTON, GA 31794-1644
(229) 391-3500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP233945
GA
Other
Enumeration date
12/05/2023
Last updated
05/15/2026
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