Individual
MRS. BETH S BOTNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1430 STEPHENS DR NE, ATLANTA, GA 30329-3716
(404) 403-3326
Mailing address
1430 STEPHENS DR NE, ATLANTA, GA 30329-3716
(404) 403-3326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN118785
GA
Other
Enumeration date
08/22/2005
Last updated
12/11/2011
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