Individual
GRETA M GILSON AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
20 GLENLAKE PARKWAY NE, SANDY SPRINGS, GA 30328
(404) 365-0966
Mailing address
20 GLENLAKE PARKWAY NE, SANDY SPRINGS, GA 30328
(404) 365-0966
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN054192
GA
Other
Enumeration date
12/18/2013
Last updated
02/06/2022
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