Individual
MR. ANTHONY IZORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5163 TALL OAK DRIVE, MARIETTA, GA 30068
(407) 733-2289
Mailing address
5163 TALL OAK DRIVE, MARIETTA, GA 30068
(407) 733-2289
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN189830
GA
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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