Individual
ERICA OMONDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
140 THREE RIVERS DR NE, ROME, GA 30161-4999
(706) 232-1300
(706) 232-1039
Mailing address
8741 BARREN FORK BRIDGE RD, BON AQUA, TN 37025-1406
(615) 892-5265
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
196387
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
242864
GA
Other
Enumeration date
09/10/2014
Last updated
09/22/2014
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