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Individual

OSCAR SEGOVIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PNP

Contact information

Practice address
1001 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1605
(404) 785-5009
(404) 785-9168
Mailing address
PO BOX 422002, ATLANTA, GA 30342-9002
(770) 938-0772
(770) 621-9230

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN185083
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN185083
GA

Other

Enumeration date
04/27/2012
Last updated
04/27/2012
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