Individual
ABIGAIL DAHL IVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5455 MERIDIAN MARKS RD NE, SUITE 130, ATLANTA, GA 30342-1654
(404) 255-2033
(404) 252-1901
Mailing address
1185L DAVIS PL NW, ATLANTA, GA 30318-7515
(404) 600-2909
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN188532 NP
GA
Other
Enumeration date
05/04/2010
Last updated
07/15/2013
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