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1780381657
RENITA WALLS
FAYETTEVILLE, GA
NPI
1780381657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN244023)
Enumeration Date
2023-02-13
Last Update Date
2023-02-28
Business Address
Ms. RENITA WALLS FNP
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214-1500
Phone number: 404-384-6531
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Mailing Address
Ms. RENITA WALLS FNP
6261 STONELAKE DR SW
ATLANTA, GA 30331-9488
Phone number: 404-384-6531
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