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Individual

DAVID RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT COMPREHENSIVE MEDICAL CENTER, DULUTH, GA 30096-4506
(770) 931-6012
(404) 778-5495
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN150700
GA

Other

Enumeration date
08/31/2009
Last updated
01/07/2022
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