Individual
DORA JEAN-LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
766 WALTHER RD STE 100, LAWRENCEVILLE, GA 30046-8765
(770) 736-6300
Mailing address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-0200
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN176693
GA
363LF0000X
Family Nurse Practitioner
Primary
RN176693
GA
Other
Enumeration date
02/25/2015
Last updated
01/25/2019
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