Individual
MS. GEORGIA RONNINGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1791 MULKEY RD, SUITE 200, AUSTELL, GA 30106-1124
(770) 732-5400
(770) 944-0327
Mailing address
1791 MULKEY RD, SUITE 200, AUSTELL, GA 30106-1124
(770) 732-5400
(770) 944-0327
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN042262
GA
Other
Enumeration date
02/20/2006
Last updated
08/05/2011
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