Individual
PAOLA PANTALEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3790 HOLCOMB BRIDGE RD, PEACHTREE CORNERS, GA 30092-4801
(470) 545-0305
Mailing address
5068 NEWPARK DR NW, ACWORTH, GA 30101-7100
(678) 520-7414
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN216518
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN216518
ADVANCED PRACTICE NURSE PRACTITIONER LICENSE NUMBER
GA
Enumeration date
09/14/2020
Last updated
09/14/2020
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