Individual
MRS. NICOLE DUBOIS WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1700 HOSPITAL SOUTH DR, AUSTELL, GA 30106-6810
(770) 944-7818
(770) 948-9344
Mailing address
439 FAIRWAY DR, ACWORTH, GA 30101-6421
(404) 213-0713
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN236956
GA
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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