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Individual

LEIGHANA CALDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4104 SPRINGRIDGE CT, POWDER SPRINGS, GA 30127-3546
(973) 951-7422
Mailing address
4104 SPRINGRIDGE CT, POWDER SPRINGS, GA 30127-3546

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN255863
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN255863
GEORGIA BOARD OF NURSING
GA
Enumeration date
06/10/2020
Last updated
06/10/2020
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