Individual
BRENDA DENISE DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-C,
Contact information
Practice address
1105 WEST PEACHTREE STREET, N. E., STATION C, ATLANTA, GA 30357
(404) 853-2821
Mailing address
770 STONECREEK WAY, STONE MOUNTAIN, GA 30087-4507
(770) 484-7770
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
R050628
GA
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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