Individual
BABS R LABRADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1301 SIGMAN RD NE STE 270, CONYERS, GA 30012
(770) 483-9330
Mailing address
2727 PACES FERRY RD SE STE 1-1100, ATLANTA, GA 30339-6151
(770) 483-9330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
123691
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
674575992CDEF
—
GA
Enumeration date
07/26/2007
Last updated
08/16/2018
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