TAIDESHA CHANEL MYRICK

CONYERS, GA
NPI1710711684
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: GA  RN298582)
Enumeration Date2024-08-31
Last Update Date2024-08-31
Business Address
TAIDESHA CHANEL MYRICK NP
2035 FLAT SHOALS RD SE
CONYERS, GA 30013-1809
Phone number: 770-922-1778
Mailing Address
TAIDESHA CHANEL MYRICK NP
PO BOX 3413
DECATUR, GA 30031-3413
Phone number:
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