Individual
ANIQUE ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2170 LESTER RD NW, CONYERS, GA 30012
(470) 249-7553
Mailing address
2170 LESTER RD, CONYERS, GA 30012
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
001839
GA
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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