Individual
DESTINY ROPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
2055 THEBERTON TRL, LOCUST GROVE, GA 30248-7407
(843) 566-3856
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
267995
SC
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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