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1710530134
CHARITY NIKOLE ROSEBERRY
FAYETTEVILLE, GA
NPI
1710530134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA 195360)
Enumeration Date
2019-07-24
Last Update Date
2019-07-24
Business Address
Mrs. CHARITY NIKOLE ROSEBERRY PMHNP-BC
110 BRAXTON CT
FAYETTEVILLE, GA 30214-1968
Phone number: 770-461-3065
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Mailing Address
Mrs. CHARITY NIKOLE ROSEBERRY PMHNP-BC
160 ANTEBELLUM WAY
FAYETTEVILLE, GA 30215-5056
Phone number: 901-326-7760
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