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Organization
MY HEALTH REASSURANCE P.C.
Active
Organization
MY HEALTH REASSURANCE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAYONA J MORELAND FNP-C (OWNER)
(770) 648-2148
Entity
Organization
Contact information
Practice address
376 GLYNN ST N, FAYETTEVILLE, GA 30214-1191
(770) 648-2148
(676) 788-2856
Mailing address
P.O. BOX 142076, FAYETTEVILLE, GA 30214
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275990616
—
GA
Enumeration date
06/09/2021
Last updated
02/09/2024
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