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Individual

AURELIA KING SUMMERLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
5670 PEACHTREE DUNWOODY RD STE 1000, ATLANTA, GA 30342-4790
(404) 255-1930
(404) 459-8510
Mailing address
5670 PEACHTREE DUNWOODY RD STE 1000, ATLANTA, GA 30342-4790
(404) 255-1930
(404) 459-8510

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-039052
AL
363LF0000X
Family Nurse Practitioner
Primary
RN186148
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q077462
TN
Enumeration date
08/01/2006
Last updated
09/27/2022
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