Individual
CHARLOTTE FISCHER GRULKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 WINDY HILL RD SE, SUITE 104, MARIETTA, GA 30067-8664
(678) 501-5601
Mailing address
1931 TYLER RDG SE, SMYRNA, GA 30080-3102
(404) 316-0204
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN218147
GA
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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