Individual
KALEIGH HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
187 CHASTAIN RD NW STE 250, KENNESAW, GA 30144-3010
(770) 218-6450
Mailing address
732 FRASIER CIR SE, MARIETTA, GA 30060-2316
(239) 634-7026
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
RN333777
GA
363L00000X
Nurse Practitioner
Primary
RN333777
GA
Other
Enumeration date
09/09/2024
Last updated
01/23/2025
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