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Individual

VICKI CORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
122 DAVIS DR, CARTERSVILLE, GA 30120-2409
(770) 564-3784
Mailing address
122 DAVIS DR, CARTERSVILLE, GA 30120-2409
(770) 564-3784

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
GA

Other

Enumeration date
10/03/2012
Last updated
10/03/2012
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