John David Botero NP-C

NPI 1083921274 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1083921274
Gender Male
Enumeration Date 09/09/2010
Last Updated 09/09/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
631 PROFESSIONAL DR STE 450
LAWRENCEVILLE GA, 30046-3370, US
Phone (770) 963-8030
Fax (770) 339-9577
Business Location
631 PROFESSIONAL DR STE 450
LAWRENCEVILLE GA, 30046-3370, US
Phone (770) 963-8030
Fax (770) 339-9577
Toxanomy
Taxonomy Code 363LF0000X
License State Georgia
License Number RN207415
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According to our database, Mr. John David Botero NP-C NPI is 1083921274, taxonomy code is 363LF0000X and license number is RN207415, license state is located at Georgia. John David Botero NP-C physically located at 631 Professional Dr Ste 450, Lawrenceville GA, 30046-3370. NPI Number John David Botero NP-C has the Individual type.

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1083921274 NPI number is provided on an as is basis without warranty of any kind. 1083921274 is maintained by the National Plan & Provider Enumeration System. The contents of John David Botero NP-C are for informational purposes only.