MID PROVIDER INC

Gerontology Nurse Practitioner

NPI: 1962621532Organization

Specialties, Licenses & Credentials

Gerontology Nurse PractitionerPrimary

Nurse Practitioner — Gerontology

Code: 363LG0600X

RN133089(GA)

Contact & Hours

Address: 1230 WORTHINGTON HILLS DR
ROSWELL, GA 30076
Phone: (404) 229-0274

Quick Facts

NPI: 1962621532
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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