Individual
DESIREE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
135 N. PARK PLACE, SUITE 101, STOCKBRIDGE, GA 30281
(770) 892-0300
Mailing address
135 N. PARK PLACE, SUITE 101, STOCKBRIDGE, GA 30281
(770) 892-0300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN184281
GA
Other
Enumeration date
05/06/2019
Last updated
04/24/2024
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