Individual
MARY POPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
332 KINGS HWY, DECATUR, GA 30030-5228
(404) 351-0051
(404) 351-0632
Mailing address
332 KINGS HWY, DECATUR, GA 30030-5228
(404) 351-0051
(404) 351-0632
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN148914
GA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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