Individual
EMILY LOUISE OTHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
887 W MARIETTA ST NW, ATLANTA, GA 30318-5252
(888) 772-0076
Mailing address
47 SHORTLEAF TRL, RICHMOND HILL, GA 31324-6555
(774) 218-0741
(774) 218-0741
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN242072
GA
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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