Individual
CHARMANTE CYRIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2668 WESTCHESTER PKWY SE, CONYERS, GA 30013-2400
(678) 520-1470
Mailing address
2668 WESTCHESTER PKWY SE, CONYERS, GA 30013-2400
(678) 520-1470
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN199261
GA
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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