Individual
DAPHNE MICHELLE RAY-LEVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
105 HIGHGROVE PL, MCDONOUGH, GA 30253-5979
(678) 699-9496
Mailing address
105 HIGHGROVE PLACE, MCDONOUGH, GA 30253
(678) 699-9496
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
167925
GA
Other
Enumeration date
12/07/2015
Last updated
01/02/2016
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