Individual
MARY BEREZNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 812-9666
Mailing address
223 AUSTIN AVE, CARROLLTON, GA 30117-3905
(404) 983-1084
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-NP295066
GA
Other
Enumeration date
08/11/2025
Last updated
10/10/2025
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