Individual
HYACINTH CHARMAINE MORRIS-FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 SAMUEL JACOB DR, STOCKBRIDGE, GA 30281-6072
(678) 755-3412
Mailing address
120 SAMUEL JACOB DR, STOCKBRIDGE, GA 30281-6072
(678) 755-3412
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0028877660
GA
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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