Individual
DONYA J. BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN BC
Contact information
Practice address
150 CLINIC AVE, SUITE 202, CARROLLTON, GA 30117-4401
(770) 834-6988
(770) 834-1090
Mailing address
150 CLINIC AVE, SUITE 202, CARROLLTON, GA 30117-4401
(770) 834-6988
(770) 834-1090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN130291 NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000952443A
—
GA
01
—
REF000128984
MEDICAID REFERENCE NUMBER
GA
Enumeration date
04/03/2006
Last updated
11/14/2007
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