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Individual

BREANNA LEIGH SORACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 367-3014
Mailing address
1400 NORTHSIDE FORSYTH DR STE 210, CUMMING, GA 30041-7668
(678) 947-4000
(678) 455-0010

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN183659
GA
363LF0000X
Family Nurse Practitioner
RN183659
GA

Other

Enumeration date
09/24/2012
Last updated
07/22/2024
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