DEIDRA MIESHA PRINTUP

COVINGTON, GA
NPI1629843446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN223974)
Enumeration Date2023-11-21
Last Update Date2023-11-21
Business Address
DEIDRA MIESHA PRINTUP FNP-C
10600 LOCHRIDGE BLVD
COVINGTON, GA 30014-4411
Phone number: 229-391-3500
Mailing Address
DEIDRA MIESHA PRINTUP FNP-C
1948 OLD OCILLA RD
TIFTON, GA 31794-1644
Phone number: 229-391-3500