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Flamingo Mojo Llc
Family Nurse Practitioner in Carrollton, Georgia
NPI 1760256432

Flamingo Mojo Llc is a Family Nurse Practitioner based in Carrollton, GA and is specialized in Family. Flamingo Mojo Llc practices in Carrollton, GA. The NPI Number for Flamingo Mojo Llc is 1760256432 and holds a License No. (Georgia).

The current practice location address for Flamingo Mojo Llc is 105 Adamson Ave, Carrollton, GA and can be reached out via phone at 678-761-9479.

Location: 105 Adamson Ave, Carrollton, GA, 30117-3401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760256432
Provider Name
Flamingo Mojo Llc
Credential
Provider Entity Type
Organization
Address
105 Adamson Ave, Carrollton, GA, 30117-3401
Phone Number
678-761-9479
Fax Number
Provider Enumeration Date
11/13/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
105 Adamson Ave
City
Carrollton
State
Georgia
Zip
30117-3401
Phone Number
678-761-9479
Fax Number
person
Provider Business Mailing Address Details
Address
105 Adamson Ave
City
Carrollton
State
Georgia
Zip
30117-3401
Phone Number
678-761-9479
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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