Individual
EMMA CORDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15 RIVERBEND DR SW, STE 100, ROME, GA 30161-6005
(706) 291-0884
(706) 378-8267
Mailing address
15 RIVERBEND DR SW, STE 100, ROME, GA 30161-6005
(706) 291-0884
(706) 378-8267
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN168452
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
GA
Enumeration date
02/11/2013
Last updated
02/11/2013
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