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Individual

MRS. EDNIE BRISSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1670 MCKENDREE CHURCH RD BUILDING 50 SUITE D, LAWRENCEVILLE, GA 30043
(678) 549-8577
Mailing address
6872 WYNMEADOW DR, STONE MOUNTAIN, GA 30087-6361
(678) 549-8577

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN217071
GA

Other

Enumeration date
12/07/2018
Last updated
01/28/2025
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