Individual
SALETA ANICA BROGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10 MUIRFIELD DR, COVINGTON, GA 30016-6536
(404) 641-6237
(678) 806-4803
Mailing address
10 MUIRFIELD DR, COVINGTON, GA 30016-6536
(404) 641-6237
(678) 806-4803
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN197303
GA
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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