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Individual

MRS. ADRIENNE PEART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
990 BEAR CREEK BLVD STE G, HAMPTON, GA 30228-1864
(678) 479-1234
(678) 479-5678
Mailing address
990 BEAR CREEK BLVD STE G, HAMPTON, GA 30228-1864
(678) 479-1234
(678) 479-5678

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN137049
GA
363L00000X
Nurse Practitioner
Primary
RN137049
GA
363LA2200X
Adult Health Nurse Practitioner
RN137049
GA
363LG0600X
Gerontology Nurse Practitioner
RN137049
GA

Other

Enumeration date
11/18/2013
Last updated
11/18/2013
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