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1174236111
EBONY CROSLAND
DECATUR, GA
NPI
1174236111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN274969)
Enumeration Date
2023-01-04
Last Update Date
2023-05-12
Business Address
EBONY CROSLAND NP
2685 MILSCOTT DR
DECATUR, GA 30033-5906
Phone number: 404-292-3727
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Mailing Address
EBONY CROSLAND NP
1930 BRANNAN RD
MCDONOUGH, GA 30253-4310
Phone number: 678-284-4040
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