Irine Alfred
Nurse Practitioner, Primary Care in Decatur, GA. Individual provider (NPI-1).
NPI number1114758554
StatusActive
Last updated in NPPESAug 8, 2024
Details
- NPI
- 1114758554
- Entity type
- Individual (NPI-1)
- Name
- Irine Alfred
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2024
- Certification date
- Aug 8, 2024
- Last updated
- Aug 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | RN271360 | GA | Yes |
Practice location
1670 Clairmont RdDecatur, GA 30033-4004
Phone 404-315-4100
Mailing address
1670 Clairmont RdDecatur, GA 30033-4004
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