Individual
MS. ABOSEDE HAYGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4639 RIVER HILL CIR, ELLENWOOD, GA 30294-1884
(404) 259-0967
Mailing address
4639 RIVER HILL CIR, ELLENWOOD, GA 30294-1884
(404) 259-0967
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022096900
GA
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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