BETTY R WICKSTROM

ATLANTA, GA
NPI1669405197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: GA  RN045532)
Enumeration Date2006-07-08
Last Update Date2007-07-08
Business Address
-- BETTY R WICKSTROM N.P.
960 JOHNSON FERRY RD NE SUITE 336
ATLANTA, GA 30342-1631
Phone number: 404-252-7400
Mailing Address
-- BETTY R WICKSTROM N.P.
960 JOHNSON FERRY RD NE SUITE 336
ATLANTA, GA 30342-1631
Phone number: 404-252-7400
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