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Individual

MRS. JULIA CALDWELL DESHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 388-5517
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN287173
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
01/20/2022
Last updated
12/08/2023
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