Individual
BRENDA DIGIACOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, FNP-BC
Contact information
Practice address
980 JOHNSON FERRY ROAD, SUITE 910, ATLANTA, GA 30342
(404) 303-3750
(404) 252-4755
Mailing address
980 JOHNSON FERRY ROAD, SUITE 910, ATLANTA, GA 30342
(404) 303-3750
(404) 252-4755
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN138898
GA
363LF0000X
Family Nurse Practitioner
Primary
138898
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003146982C
—
GA
Enumeration date
11/02/2013
Last updated
01/25/2017
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