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Individual

DESHAWNDA GARNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN

Contact information

Practice address
950 SIDELINE CT, STOCKBRIDGE, GA 30281-3552
(404) 312-3984
Mailing address
950 SIDELINE CT, STOCKBRIDGE, GA 30281-3552
(404) 312-3984

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN188634
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F0913433
AMERCIAN ACADEMY OF NURSE PRACTITIONERS CETIFICATION PROGRAM
GA
Enumeration date
03/13/2014
Last updated
03/13/2014
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