Individual
KISHA ADDERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1775 PARKER RD SE, STE C-240, CONYERS, GA 30094-6654
(678) 609-6282
(678) 609-6283
Mailing address
PO BOX 116202, ATLANTA, GA 30368-6202
(678) 609-6282
(678) 609-6283
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN185219
GA
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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