Individual
ERICA NICOLE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3446 NEWBERRY TRL, DECATUR, GA 30034-3248
(678) 510-3730
Mailing address
264 19TH ST NW, UNIT 2406, ATLANTA, GA 30363-1135
(678) 510-3730
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/31/2016
Last updated
07/31/2016
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