Organization
GWINNETT CARE AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIENNE THOMAS FNP (NURSE PRACTITIONER)
(617) 480-9507
Entity
Organization
Contact information
Practice address
3585 EDENDERRY DR, SNELLVILLE, GA 30039-5961
(617) 480-9507
Mailing address
3585 EDENDERRY DR, SNELLVILLE, GA 30039-5961
(617) 480-9507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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