BERTINE METAGO LUNDBERG

FAYETTEVILLE, GA
NPI1821231861
Former NameBERTINE METAGO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN245551)
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: NY  296527)
Enumeration Date2009-04-07
Last Update Date2022-09-19
Business Address
BERTINE METAGO LUNDBERG NP
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4526
Phone number: 404-367-3014
Mailing Address
BERTINE METAGO LUNDBERG NP
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4526
Phone number: 404-367-3014