363LA2100X
Snellville, GA
Specialty
363LA2100X
Credential
FNP
NPI
1003291378
1557 Janmar Rd, Snellville, GA 30078
(404) 620-6159Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X