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Individual

VANDELER N BOOKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Mailing address
2900 CHAMBLEE TUCKER RD BLDG 16, ATLANTA, GA 30341-4148
(770) 939-1288
(707) 212-2203

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
RN183906
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN183906
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003231143A
GA
Enumeration date
01/08/2018
Last updated
03/10/2026
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