Individual
MRS. DONNETTE TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
749 FLOWERS XING, LAWRENCEVILLE, GA 30044-5954
(770) 344-8826
Mailing address
749 FLOWERS XING, LAWRENCEVILLE, GA 30044-5954
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
171735
GA
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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