GEREMY LANCE WOOTEN

MARIETTA, GA
NPI1558124628
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN205927)
Enumeration Date2024-02-01
Last Update Date2024-03-20
Business Address
GEREMY LANCE WOOTEN MSN, APRN, PMHNP-BC
2540 WINDY HILL RD SE
MARIETTA, GA 30067-8605
Phone number: 770-644-1570
Mailing Address
GEREMY LANCE WOOTEN MSN, APRN, PMHNP-BC
128 VIVIAN LN
PEACHTREE CITY, GA 30269-2305
Phone number: 646-467-1015
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