Individual
ANNE EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1161 DAVENTRY WAY NE, BROOKHAVEN, GA 30319-4547
(678) 230-2725
Mailing address
1161 DAVENTRY WAY NE, BROOKHAVEN, GA 30319-4547
(678) 230-2725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN216417
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN216417
GA
Other
Enumeration date
10/26/2022
Last updated
01/25/2025
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