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Individual

MRS. PATRICIA G DUCKWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1650 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008-4010
(770) 514-2361
(770) 514-2811
Mailing address
1650 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008-4010
(770) 514-2361
(770) 514-2811

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN036347
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00692711A
GA
Enumeration date
03/15/2006
Last updated
07/08/2007
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