Individual
MRS. YESNIA COMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC, LAT LPN
Contact information
Practice address
1000 CHASTAIN RD NW # 201, KENNESAW, GA 30144-5588
(770) 794-7716
(770) 423-6665
Mailing address
4601 NOAH OVERLOOK E, ACWORTH, GA 30101-6854
(770) 876-0571
(770) 423-6665
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
LPN076548
GA
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
AT001439
GA
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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