Individual
CIARA R DEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
11 UPPER RIVERDALE RD, RIVERDALE, GA 30274
(770) 991-8000
Mailing address
619 SUPERIOR WAY, FAIRBURN, GA 30213-3277
(678) 526-4392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN283511
GA
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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