Individual
NIARE FEASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 TRITON IVES DR, AUBURN, GA 30011
(404) 844-1189
Mailing address
4160 TRITON IVES DR, AUBURN, GA 30011-2262
(404) 844-1189
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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