Individual
MARY LAURA NIEWOEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 303-3759
Mailing address
4944 WILLOW CREEK DR, WOODSTOCK, GA 30188-4307
(850) 723-0482
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN232641
GA
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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