Individual
THERESA MOTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5461 MERIDIAN MARK RD STE 570, ATLANTA, GA 30342-2807
(404) 785-6895
(404) 785-6896
Mailing address
5461 MERIDIAN MARK RD STE 570, ATLANTA, GA 30342-2807
(404) 785-6895
(404) 785-6896
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN267699
GA
363L00000X
Nurse Practitioner
Primary
RN267699
GA
Other
Enumeration date
02/05/2020
Last updated
07/20/2023
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