Individual
ADELAIDA LARDUET MAYETA-PEART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
1301 SIGMAN RD NE STE 230, CONYERS, GA 30012-3819
(678) 609-4912
Mailing address
4303 JODECO RD, MCDONOUGH, GA 30253-8297
(770) 898-7840
(770) 898-7960
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN242101
GA
363LF0000X
Family Nurse Practitioner
RN242101
GA
Other
Enumeration date
07/01/2020
Last updated
07/08/2024
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