Individual
CASSANDRA EVERTSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2713 MADISON MAE LN, GRAYSON, GA 30017-7823
(404) 645-3738
Mailing address
2713 MADISON MAE LN, GRAYSON, GA 30017-7823
(404) 645-3738
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
DEPARTMENT OF VA
—
Enumeration date
10/11/2019
Last updated
10/11/2019
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