Individual
IVEY W DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
975 JOHNSON FY RD NE, ATLANTA, GA 30342-1619
(404) 256-1311
Mailing address
2584 WINDING LN NE, BROOKHAVEN, GA 30319-3230
(229) 322-0251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN248376
GA
Other
Enumeration date
06/12/2023
Last updated
08/29/2024
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