DEIDRA MIESHA PRINTUP

FAYETTEVILLE, GA
NPI1629843446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN223974)
Enumeration Date2023-11-21
Last Update Date2025-10-10
Business Address
DEIDRA MIESHA PRINTUP FNP-C
1267 HIGHWAY 54 W STE 3200
FAYETTEVILLE, GA 30214-2111
Phone number: 770-632-9900
Mailing Address
DEIDRA MIESHA PRINTUP FNP-C
1948 OLD OCILLA RD
TIFTON, GA 31794-1644
Phone number: 229-391-3500