Individual
MARY REGISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5667 PEACHTREE DUNWOODY RD NE, SUITE 150, ATLANTA, GA 30342-1725
(404) 256-0775
Mailing address
5667 PEACHTREE DUNWOODY RD NE, SUITE 150, ATLANTA, GA 30342-1725
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN063845
GA
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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