Individual
ADELIENE G ISAAC DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5329 MEMORIAL DR, SUITE A, STONE MOUNTAIN, GA 30083-3212
(770) 359-9592
(404) 296-7696
Mailing address
5329 MEMORIAL DR, SUITE A, STONE MOUNTAIN, GA 30083-3212
(770) 359-9592
(404) 296-7696
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
IN PROGRESS
GA
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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