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1851316665
JORETTA A BUCKNER
FAYETTEVILLE, GA
NPI
1851316665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN101831)
Enumeration Date
2006-07-13
Last Update Date
2022-07-19
Business Address
JORETTA A BUCKNER NP
200 TRILITH PKWY STE 100
FAYETTEVILLE, GA 30214-4462
Phone number: 404-948-3019
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Mailing Address
JORETTA A BUCKNER NP
480 GLYNN ST N
FAYETTEVILLE, GA 30214-1192
Phone number: 770-461-3431
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