Individual
REHANA JIWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(678) 413-7738
(678) 413-7739
Mailing address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(678) 413-7738
(678) 413-7739
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN139623
GA
Other
Enumeration date
01/14/2015
Last updated
04/07/2016
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