Individual
MRS. MERCY A. EKPOUDOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
305 SAINT PAULS CT, STOCKBRIDGE, GA 30281-1093
(678) 608-7151
(678) 289-9256
Mailing address
305 SAINT PAULS CT, STOCKBRIDGE, GA 30281-1093
(678) 608-7151
(678) 289-9256
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN109319
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN109319
NURSING LICENSE NO
GA
Enumeration date
06/09/2017
Last updated
06/09/2017
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