Individual
DAPHNE KOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(404) 457-1071
Mailing address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(404) 457-1071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN298057
GA
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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