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Individual

MS. EVELYN KAY HALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-9560
Mailing address
5210 DEWBERRY RD NW, ACWORTH, GA 30101-6908
(404) 401-0850

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-216443
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
N/A
Enumeration date
11/09/2019
Last updated
11/09/2019
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