Individual
MIA CHRISTINA CANELLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2174 N DRUID HILLS RD NE, ATLANTA, GA 30329-3102
(404) 785-5437
Mailing address
2174 N DRUID HILLS RD NE, ATLANTA, GA 30329-3102
(404) 785-9832
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN306973
GA
Other
Enumeration date
09/06/2022
Last updated
01/16/2024
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