Individual
DIVYA JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 KENSINGTON CT SW, LILBURN, GA 30047-7800
(325) 301-0039
(325) 301-0039
Mailing address
2035 KENSINGTON CT SW, LILBURN, GA 30047-7800
(325) 301-0039
(325) 301-0039
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN275833
GA
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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