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Individual

MRS. KEATRINA T SPRINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
148 CLINIC AVE, CARROLLTON, GA 30117-4414
(770) 838-8640
(770) 838-8650
Mailing address
119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 30117-3857
(770) 838-8710
(770) 838-8563

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN205796
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN205796
NP LICENSE
GA
Enumeration date
07/31/2007
Last updated
05/09/2016
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