Individual
MRS. DENICE WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4952 COUNTRY LN SE, ACWORTH, GA 30102-6832
(678) 323-9043
Mailing address
4952 COUNTRY LN SE, ACWORTH, GA 30102-6832
(678) 323-9043
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0028909891
GA
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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