IRETA FAVORS

ATHENS, GA
NPI1003488958
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: GA  RN296873)
Enumeration Date2021-07-12
Last Update Date2024-02-20
Business Address
IRETA FAVORS PMHNP
250 BRAY ST
ATHENS, GA 30601-2203
Phone number: 678-215-4907
Mailing Address
IRETA FAVORS PMHNP
1575 LAWRENCEVILLE HWY STE K
LAWRENCEVILLE, GA 30044-2007
Phone number: 678-215-4907
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