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Individual

ERIN BROOKE SIPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2920 MARIETTA HWY, #142, CANTON, GA 30114-8212
(770) 704-0057
(770) 704-0223
Mailing address
2920 MARIETTA HWY, #142, CANTON, GA 30114-8212
(770) 704-0057
(770) 704-0223

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN167888
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F0309071
AANP
GA
01
RN167888
GEORGIA RN LICENSE
GA
Enumeration date
04/17/2009
Last updated
04/17/2009
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