Individual
CHARLOTTE DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, BSN, RN
Contact information
Practice address
704 BREEDLOVE DR STE A, MONROE, GA 30655-2054
(888) 772-0076
(770) 751-8014
Mailing address
PO BOX 5856, ATLANTA, GA 31107-0856
(888) 772-0076
(770) 751-8014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN215851
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN215851
STATE LICENSE
GA
Enumeration date
12/26/2018
Last updated
12/26/2018
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