Individual
PASSION WORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT-MA
Contact information
Practice address
6603 CHURCH ST APT D4, RIVERDALE, GA 30274-2204
(404) 477-9199
Mailing address
35 IVY SPRINGS DR, NEWNAN, GA 30265-2234
(404) 477-9199
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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