Individual
KADASHA FAIRCLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1340 ALEXANDER XING, LOGANVILLE, GA 30052-3985
(404) 916-9226
Mailing address
1340 ALEXANDER XING, LOGANVILLE, GA 30052-3985
(404) 916-9226
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN286337
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024190568
VA
Other
Enumeration date
11/23/2019
Last updated
02/25/2026
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