Individual
ORLENA WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4865 BILL GARDNER PKWY, LOCUST GROVE, GA 30248-3644
(770) 692-0100
(770) 692-6190
Mailing address
4865 BILL GARDNER PKWY, LOCUST GROVE, GA 30248-3644
(770) 692-0100
(770) 692-6190
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
RN184183
GA
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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