Individual
MR. ANTHONY J MERCURIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2200 MEDICAL CENTER BLVD STE 230, LAWRENCEVILLE, GA 30046-7766
(678) 312-3500
Mailing address
3345 FOREST TRACE DR, DACULA, GA 30019-4544
(631) 903-0446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN294015
GA
363LF0000X
Family Nurse Practitioner
Primary
RN294015
GA
Other
Enumeration date
02/12/2024
Last updated
10/16/2024
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