Individual
CLAUDETTE ANNMARIE MEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
2738 LAKE CAPRI DR, CONYERS, GA 30012-2945
(347) 482-5528
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
GA085276
GA
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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