Individual
MS. RITA GCEO DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
313 NEW ECHOTA WAY, WOODSTOCK, GA 30189-7001
(678) 978-9819
Mailing address
313 NEW ECHOTA WAY, WOODSTOCK, GA 30189-7001
(678) 978-9819
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
06/22/2014
Last updated
06/22/2014
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