Individual
ETSEGENET G. ENDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
687 JOHNSON FERRY RD, MARIETTA, GA 30068-4628
(404) 200-8319
Mailing address
PO BOX 381, DOUGLASVILLE, GA 30133-0381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12220213
GA
Other
Enumeration date
02/07/2023
Last updated
02/23/2023
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