Individual
FELICE IKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2725 MARLIN DR, MCDONOUGH, GA 30253-6686
(229) 630-7442
Mailing address
2725 MARLIN DR, MCDONOUGH, GA 30253-6686
(229) 630-7442
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN227751
GA
363LF0000X
Family Nurse Practitioner
Primary
RN227751
GA
Other
Enumeration date
10/24/2018
Last updated
06/22/2023
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