Individual
KENYA THRASHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 616-1426
(404) 616-1417
Mailing address
1707 COUNTRY PARK DR SE, SMYRNA, GA 30080-8265
(404) 488-9223
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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