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Individual

ABBY RENEA CORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
4160 PLEASANT WOODS DR, CUMMING, GA 30028-4108
(706) 766-9650
Mailing address
4160 PLEASANT WOODS DR, CUMMING, GA 30028-4108
(706) 766-9650

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
209858
TN
163W00000X
Registered Nurse
RN247907
GA
363L00000X
Nurse Practitioner
Primary
RN247907
GA

Other

Enumeration date
01/24/2019
Last updated
01/24/2019
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