Individual
BIANCA UNDERDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
970 NEVIS WAY, MCDONOUGH, GA 30253-8390
(770) 771-8026
Mailing address
970 NEVIS WAY, MCDONOUGH, GA 30253-8390
(770) 771-8026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN182794
GA
Other
Enumeration date
03/09/2019
Last updated
03/09/2019
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