Individual
THERA MARIE RENTZ-DYKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-1200
Mailing address
320 JACKSON ST, NEWNAN, GA 30263-1113
(470) 426-3780
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN236346
GA
Other
Enumeration date
03/14/2021
Last updated
03/14/2021
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