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Aridia I Ennever
Primary Care Nurse Practitioner in Douglasville, Georgia
NPI 1225818388

Aridia I Ennever is a Primary Care Nurse Practitioner based in Powder Springs, GA and is specialized in Primary Care. Aridia I Ennever practices in Douglasville, GA. The NPI Number for Aridia I Ennever is 1225818388 and holds a License No. 185248 (Georgia).

The current practice location address for Aridia I Ennever is 6853 Douglas Blvd Ste B, Douglasville, GA and can be reached out via phone at 770-288-0926.

Location: 6853 Douglas Blvd Ste B, Douglasville, GA, 30127-5318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225818388
Provider Name
Aridia I Ennever
Credential
Provider Entity Type
Individual
Gender
Female
Address
6853 Douglas Blvd Ste B, Douglasville, GA, 30127-5318
Phone Number
770-288-0926
Fax Number
Provider Enumeration Date
10/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6853 Douglas Blvd Ste B
City
Douglasville
State
Georgia
Zip
30135-7178
Phone Number
770-288-0926
Fax Number
person
Provider Business Mailing Address Details
Address
6853 Douglas Blvd Ste B
City
Douglasville
State
Georgia
Zip
30135-7178
Phone Number
770-288-0926
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
185248 (Georgia)
Definition
Definition to come...
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