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Individual

ANGELA SHERRELL DANFORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5220 JIMMY LEE SMITH PARKWAY SUITE 104 #346, HIRAM, GA 30141-2853
(470) 616-0086
(213) 319-6947
Mailing address
5220 JIMMY LEE SMITH PARKWAY SUITE 104 #346, HIRAM, GA 30141-2853
(470) 616-0086
(213) 319-6947

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN247888
GA
363LF0000X
Family Nurse Practitioner
61246611
WA
363LF0000X
Family Nurse Practitioner
837214-01
NY
363LF0000X
Family Nurse Practitioner
RN247888
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN247888
GA

Other

Enumeration date
04/04/2018
Last updated
10/03/2024
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