Individual provider · Type 1 NPI

Adity Dutta

Adult Health Nurse Practitioner · Duluth, GA

NPI number 1134748320 Active

Practice location

3790 Pleasant Hill Rd Ste 150
Duluth, GA 30096-5144

Mailing address

1930 Brannan Rd
Mcdonough, GA 30253-4310

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN212745 (GA)
Adult Health Nurse Practitioner Primary 363LA2200XAPRN-NP212745 (GA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1134748320

Adity Dutta's National Provider Identifier is 1134748320, issued on Apr 8, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Duluth, GA. The record was last updated on Oct 20, 2025.