Individual
ADRIENNE DEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
715 BRADLEY DR, FAYETTEVILLE, GA 30214-2030
(770) 358-5252
Mailing address
406A VINEYARD RD, GRIFFIN, GA 30223-1089
(404) 824-4801
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN072948
GA
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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