Individual
CERITA WILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 THE EXCHANGE SE, SUITE 330M, ATLANTA, GA 30339-7400
(404) 216-2296
Mailing address
1865 LYON AVE SW, ATLANTA, GA 30331-8450
(404) 216-2296
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
1744R1102X
Research Study Specialist
—
—
174H00000X
Health Educator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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