Individual
DEBORAH A MCCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
345 BERACAH TRL SW, ATLANTA, GA 30331-8517
(404) 275-5872
Mailing address
345 BERACAH TRL SW, ATLANTA, GA 30331-8517
(404) 275-5872
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN056812
GA
Other
Enumeration date
04/06/2022
Last updated
04/07/2022
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