Individual
EMMANUEL BESONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1721 MILLHOUSE RUN, MARIETTA, GA 30066-8004
(470) 591-9118
Mailing address
1721 MILLHOUSE RUN, MARIETTA, GA 30066-8004
(470) 591-9118
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95024053
CA
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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