INA VATE

LOGANVILLE, GA
NPI1467963942
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN168442)
Enumeration Date2017-10-24
Last Update Date2017-10-24
Business Address
INA VATE NP
3255 TIG KNIGHT RD.,
LOGANVILLE, GA 30052-3005
Phone number: 678-982-9343
Mailing Address
INA VATE NP
3255 TIG KNIGHT RD
LOGANVILLE, GA 30052-9139
Phone number: 678-982-9343
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