Individual
MARY B PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A.
Contact information
Practice address
750 COOPER SANDY CV, MILTON, GA 30004-0801
(770) 330-4256
Mailing address
750 COOPER SANDY CV, MILTON, GA 30004-0801
(770) 330-4256
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CN0028896838
GA
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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