Individual
NADINE JODESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 SPRINGS XING, CANTON, GA 30114-8852
(770) 885-2907
Mailing address
260 SPRINGS XING, CANTON, GA 30114-8852
(770) 885-2907
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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