Individual
LILLIAN MARIA NAGADDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1203 CLEVELAND AVE, SUITE 2-D, EAST POINT, GA 30344-3417
(404) 684-7111
(404) 684-7112
Mailing address
1203 CLEVELAND AVE, SUITE 2-D, EAST POINT, GA 30344-3417
(404) 684-7111
(404) 684-7112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN143664
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06081973
BIRTH DATE
—
01
—
RN143664
RN LICENSE
GA
Enumeration date
06/29/2007
Last updated
07/08/2007
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