Individual
JULIET NJIDEKA MKPUECHINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 812-9666
Mailing address
1063 SUMMER CYPRESS DR, VILLA RICA, GA 30180-6977
(770) 375-0452
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
78052
NM
363LF0000X
Family Nurse Practitioner
RN272336
GA
Other
Enumeration date
07/21/2021
Last updated
03/31/2024
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