Individual
BREANNA BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 PARK BROOKE CIR SW, MARIETTA, GA 30008-5309
(706) 263-6199
Mailing address
1490 PARK BROOKE CIR SW, MARIETTA, GA 30008-5309
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NONE
GA
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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