Individual
ABIGAIL GOEPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
5445 MERIDIAN MARK RD STE 250, ATLANTA, GA 30342-4767
(404) 255-1933
Mailing address
5445 MERIDIAN MARK RD STE 250, ATLANTA, GA 30342-4767
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704381197
MI
163W00000X
Registered Nurse
RN281173
GA
363LP0200X
Pediatric Nurse Practitioner
4704381197
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
RN281173
GA
Other
Enumeration date
09/29/2020
Last updated
11/22/2024
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