Individual
KARLA DELOATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
550 OAK GLEN DR, DALLAS, GA 30132-1022
(404) 992-1208
Mailing address
550 OAK GLEN DR, DALLAS, GA 30132-1022
(404) 992-1208
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN064111
GA
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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