IndividualActive
Adeliene Isaac David
NPI 1457682809 · Adult Health Nurse Practitioner · Stone Mountain, GA
Provider details
- NPI number
- 1457682809
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- IN PROGRESS (GA)
Practice location
5329 Memorial Dr
Suite a
Stone Mountain, GA 30083-3212
Phone: (770) 359-9592
Fax: (404) 296-7696
Mailing address
5329 Memorial Dr
Stone Mountain, GA 30083-3212
Registry dates
- Enumerated
- 2010-01-25
- Last updated
- 2010-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.